Unknown Individual – Psychiatry Physician, NPI 1104012228
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2925 DeBarr Rd
STE 116
Anchorage, AK 995082983
Phone: (888) 353-7574
Fax: (907) 257-6747
Type: Location
South 16th Street, Phoenix, Maricopa County, Arizona, 85034-5121, United States
PHOENIX, AZ 85042
Phone: (602) 434-8457
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99508)
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Group practice members
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| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | NY | |
| Mental Health Counselor | NY | |
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CT |
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