Az Psychiatry and Counseling, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

23778 Issued in AZ

Legal business name

AZ PSYCHIATRY AND COUNSELING, INC

Practice address

1050 E Southern Ave
Tempe, AZ 85282-5403

Phone

(480) 966-1485

Fax

(480) 968-5020

NPI assigned

Aug 2, 2012

Last updated

Mar 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carole Kelley, MSW

Title

President

Phone

(480) 966-1485

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Lincoln Charles Bickford, MD, PHD

  • Child & Adolescent Psychiatry Physician
  • Torrance, CA
  • NPI 1154506962

  AZ

  Medicare reassignment
• Michael J. Fermo, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1740256361
  NPD (past)

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1922354414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23687",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852853687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "480-966-1485",
            "fax_number": "480-968-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ PSYCHIATRY AND COUNSELING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-966-1485",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "23778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI # FOR DR. SIDHU",
            "identifier": "1568674638",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Az Family and Kids Dental Tempe LLC
• Az Kidney Dr LLC
• Az Lab, LLC (Corebella Allergy & Diagnostics)
• Az Neuromuscular Therapy, LLC
• Az Plus LLC
• Az Secure Trans LLC
• Az Secure Trans LLC
• Az Surgical Supplies, LLC
• Az Surgical Support, PLLC
• Az Surgical Weight Loss, PLLC

• Cognitive & Behavioral Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Cognitive & Behavioral Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; 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.