Organization Active NPI

Rd Integrated Health PLLC

Doing business as Psych MD AZ

  • Multi-Specialty Clinic/Center
  • Glendale, AZ
National Provider Identifier
1912575093
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on May 6, 2026

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

Authorized official

Name
Malar KuppanNPI 1295216190
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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as
  • Psych MD AZ LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220824001707 AZ Part B Supplier - Clinic/Group Practice 9133502529 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.