Active NPI
Gary J Mihalik, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1891908570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17556
- Practice address
- 444 N 44TH St
#400
Phoenix, AZ 85008-7624 - Phone
- (602) 685-3846
- Fax
- (602) 685-3808
- NPI assigned
- May 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17556 | AZ | Primary |
Addresses
Primary practice location
444 N 44TH St
#400
Phoenix, AZ 85008-7624
Mailing address
444 N 44TH St
#400
Phoenix, AZ 85008-7624
Phone (602) 685-3846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 286515 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17556 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vo of Arizona, Inc. | Past | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
-
- Case Management Agency
- Phoenix, AZ
- NPI 1730139593
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891908570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 N 44TH ST",
"address_2": "#400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087624",
"telephone_number": "602-685-3846",
"fax_number": "602-685-3808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 N 44TH ST",
"address_2": "#400",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850087624",
"telephone_number": "602-685-3846",
"fax_number": "602-685-3808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIHALIK",
"first_name": "GARY",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "17556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "286515",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.