Individual provider Active NPI

David Krassner, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1841552056
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A78728 Issued in CA
Practice address
PO Box 72838
Phoenix, AZ 85050-1031
Phone
(805) 464-8660
NPI assigned
Jun 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 52423 AZ
Psychiatry Physician 2084P0800X 61494317 WA
Psychiatry Physician 2084P0800X 326894 NY
Psychiatry Physician 2084P0800X A78728 CA Primary

Addresses

Primary practice location

PO Box 72838
Phoenix, AZ 85050-1031

Mailing address

PO Box 72838
Phoenix, AZ 85050-1031
Phone (805) 464-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NY, WA4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20040409000531 CA Practitioner - Psychiatry 8123012499 Reassigns benefits to 2 organizations
Practice locations: Chico, CA
I20231215003185 AZ Practitioner - Psychiatry 8123012499 Reassigns benefits to 1 organization
I20240124001069 NY Practitioner - Psychiatry 8123012499 Reassigns benefits to 2 organizations
I20240125002586 WA Practitioner - Psychiatry 8123012499 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52423AZMDPsychiatry Physician
A78728CAMDPsychiatry Physician
326894NYMDPsychiatry Physician
61494317WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte CurrentSince Oct 5, 2020 Accepting new patients
Connect RF Medicine PLLC Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Oct 5, 2020 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
MCCD Ca Psychiatry Services PC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Mar 1, 2024 Accepting new patients
Bio-Behavioral Medical Clinics, Inc Psychiatry PastSince Jan 1, 2007 Accepting new patients
Skypiatrist Psychiatry, PLLC Psychiatry Past Accepting new patients

Locations

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

560 Cohasset Rd
Ste 175
Chico, CA 95926
Phone (530) 552-5076

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

1216 Broadway
New York, NY 10001
Phone (646) 688-3540

13555 SE 36th St
Ste 100
Bellevue, WA 98006

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1841552056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72838",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501031",
            "telephone_number": "805-464-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 72838",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501031",
            "telephone_number": "805-464-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASSNER",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "52423",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "61494317",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "326894",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A78728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.