Active NPI
Gary Arthur Grove, M.D.
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1871605030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 19157
- Practice address
- 9755 N 90TH St Ste B230
Scottsdale, AZ 85258-4445 - Phone
- (480) 948-3361
- Fax
- (480) 948-2861
- NPI assigned
- Aug 31, 2006
- Last updated
- Sep 10, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 19157 | AZ | Primary |
Addresses
Primary practice location
9755 N 90TH St Ste B230
Scottsdale, AZ 85258-4445
Mailing address
9755 N 90TH St Ste B230
Scottsdale, AZ 85258-4445
Phone (480) 948-3361
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00624790 | Other | AZ | RAILROAD MEDICARE |
| 063769 | Medicaid | AZ | |
| AZ00312 | Other | EDI SUBMITTER CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2017 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1871605030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9755 N 90TH ST STE B230",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584445",
"telephone_number": "480-948-3361",
"fax_number": "480-948-2861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9755 N 90TH ST STE B230",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584445",
"telephone_number": "480-948-3361",
"fax_number": "480-948-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVE",
"first_name": "GARY",
"middle_name": "ARTHUR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "19157",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00624790",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "063769",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDI SUBMITTER CODE",
"identifier": "AZ00312",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.