Individual provider Active NPI

Bryan Defelice, DO

  • Psychiatry Physician
  • Gilbert, AZ
National Provider Identifier
1891363297
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
011648 Issued in AZ
Practice address
1501 N Gilbert Rd Ste 206
Gilbert, AZ 85234-2394
Phone
(480) 626-7584
Fax
(480) 210-0230
NPI assigned
Jun 14, 2021
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychiatry Physician 2084P0800X 011648 AZ Primary

Addresses

Primary practice location

1501 N Gilbert Rd Ste 206
Gilbert, AZ 85234-2394

Mailing address

1501 N Gilbert Rd Ste 206
Gilbert, AZ 85234-2394
Phone (480) 626-7584

Other practice location 1

1760 E Pecos Rd Ste 247
Gilbert, AZ 85295-3214
Phone (801) 821-2781

Other practice location 2

36457 N Gantzel Rd Ste 102
San Tan Valley, AZ 85140-7343
Phone (801) 821-2781

Other practice location 3

20950 N Tatum Blvd Ste 380
Phoenix, AZ 85050-4258
Phone (480) 626-7584

Other practice location 4

4545 E Chandler Blvd Ste 308
Phoenix, AZ 85048-7646
Phone (480) 626-7584

Other practice location 5

2355 E Camelback Rd Ste 625
Phoenix, AZ 85016-3458
Phone (480) 626-7584

Other practice location 6

2046 W Riverview Auto Dr Ste 401
Mesa, AZ 85201-7597
Phone (801) 821-2781

Other practice location 7

Building 52/Lake Drive
Mountain Home, TN 37684
Phone (423) 439-8000

Other practice location 8

1860 N 95th Ln Ste 300
Phoenix, AZ 85037-5074
Phone (480) 626-7584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251111000050 SC Order and Referring Only - PsychiatryPractitioner - Psychiatry 5991295651

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1501 N Gilbert Rd
Suite 206
Gilbert, AZ 85234-2394

3300 N Triumph Blvd
Suite 500
Lehi, UT 84043-6475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC Psychiatry CurrentSince Jul 1, 2026 Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 507-7767

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

Interoperability endpoints

  • Direct secure messaging: bryan.defelice.p1@direct.scdc.nextgenshare.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1891363297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD STE 206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342394",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD STE 206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342394",
            "telephone_number": "480-626-7584",
            "fax_number": "480-210-0230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1760 E Pecos Rd Ste 247",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953214",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36457 N Gantzel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407343",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20950 N Tatum Blvd Ste 380",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850504258",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4545 E Chandler Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487646",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 E Camelback Rd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850163458",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2046 W Riverview Auto Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017597",
            "country_code": "US",
            "telephone_number": "801-821-2781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Building 52/Lake Drive",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "TN",
            "postal_code": "37684",
            "country_code": "US",
            "telephone_number": "423-439-8000",
            "fax_number": "423-439-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 N 95th Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850375074",
            "country_code": "US",
            "telephone_number": "480-626-7584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFELICE",
        "first_name": "BRYAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "011648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.