Hickman Psychiatry of Arizona, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP5445 Issued in AZ

Legal business name

HICKMAN PSYCHIATRY OF ARIZONA, PLLC

Practice address

10446 N 74TH St Ste 140
Scottsdale, AZ 85258-1045

Phone

(602) 441-2778

Fax

(602) 916-0916

NPI assigned

Apr 4, 2016

Organization subpart

No

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

Authorized official

Name

Laura Ann Hickman, PMHNP-BC

Title

Owner

Phone

(602) 441-2778

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1851754105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10446 N 74TH ST STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581045",
            "telephone_number": "602-441-2778",
            "fax_number": "602-916-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10446 N 74TH ST STE 140",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581045",
            "telephone_number": "602-441-2778",
            "fax_number": "602-916-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMAN PSYCHIATRY OF ARIZONA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-441-2778",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "894679",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366866931",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Winston Rupert Hewitt Jr., M.D.
• Cecilia Heys, WHNP
• Hfhe LLC
• Hi-Health-RX LLC
• Travis Hibbert
• Laura Ann Hickman, PMHNP
• Alexandra Elizabeth Hicks, PA-C
• Anita B Hicks, M.S.
• Sebastian Hicks, PT, DPT
• Heather Hifler

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.