Active NPI
Rd Integrated Health PLLC
Doing business as Psych MD AZ
- Multi-Specialty Clinic/Center
- Glendale, AZ
National Provider Identifier
1912575093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- RD INTEGRATED HEALTH PLLC
- Doing business as
- Psych MD AZ
Psych MD AZ LLC - Practice address
- 5310 W Thunderbird Rd Ste 202
Glendale, AZ 85306-4712 - Phone
- (623) 301-9992
- Fax
- (623) 432-7006
- NPI assigned
- Jun 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Malar Kuppan
- Title
- Provider, Admin, & Owner
- Phone
- (623) 301-9992
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
5310 W Thunderbird Rd Ste 202
Glendale, AZ 85306-4712
Mailing address
5519 W Banff LN
Glendale, AZ 85306-3045
Phone (623) 261-5258
Other names 2
- Psych MD AZ
- Psych MD AZ LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
- NPI 1295216190
Acute Care
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1528813219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1912575093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5519 W BANFF LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853063045",
"telephone_number": "623-261-5258",
"fax_number": "623-432-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5310 W THUNDERBIRD RD STE 202",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853064712",
"telephone_number": "623-301-9992",
"fax_number": "623-432-7006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RD INTEGRATED HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-15",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "KUPPAN",
"authorized_official_first_name": "MALAR",
"authorized_official_title_or_position": "PROVIDER, ADMIN, & OWNER",
"authorized_official_telephone_number": "623-301-9992"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Psych MD AZ",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Psych MD AZ LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.