Active NPI
Deibler Psychiatric, PLLC
- Psychologist
- Camp Verde, AZ
National Provider Identifier
1932390796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32333
- Legal business name
- DEIBLER PSYCHIATRIC, PLLC
- Practice address
- 2120 W Reservation Loop Rd
Camp Verde, AZ 86322 - Phone
- (928) 567-5231
- NPI assigned
- Aug 7, 2007
- 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
- Derek S Deibler, MD
- Title
- Medical Doctor
- Phone
- (602) 791-1282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32333 | AZ | Primary |
Addresses
Primary practice location
2120 W Reservation Loop Rd
Camp Verde, AZ 86322
Mailing address
3132 W Steinbeck Dr
Anthem, AZ 85086-1535
Phone (602) 791-1282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32333 | Other | AZ | STATE LICENSE |
| 967739 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
7432 E Camelback Rd
Scottsdale, AZ 85251
Phone (480) 423-0713
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Phoenix, AZ
- NPI 1750456877
-
- Child & Adolescent Psychiatry Physician
- Scottsdale, AZ
- NPI 1326036427
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Nashville, TN
- NPI 1528067147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194220800000",
"number": "1932390796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 W STEINBECK DR",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850861535",
"telephone_number": "602-791-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 W RESERVATION LOOP RD",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "86322",
"telephone_number": "928-567-5231"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEIBLER PSYCHIATRIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-07",
"last_updated": "2007-11-05",
"status": "A",
"authorized_official_last_name": "DEIBLER",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "602-791-1282",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "AZ",
"license": "32333",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "32333",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "967739",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Camp Verde, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.