Active NPI
Bryan Defelice, DO
- Psychiatry Physician
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 011648
- 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, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251111000050 | SC | Order and Referring Only - 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serenity TMS Centers LLC | Psychiatry | Current | 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
- 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.
-
dba Serenity Mental Health Centers
- Psychiatry Physician
- Lehi, UT
- NPI 1710492095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.