MEDICARE: BASELINE PSYCHIATRY PLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1811749443
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASELINE PSYCHIATRY PLC

Provider Business Mailing Address
First Line	:	7325 N 16TH ST STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5202
Country	:	US
Telephone Number	:	602-492-6358
Fax Number	:	727-245-0166

Provider Business Practice Location Address
First Line	:	7325 N 16TH ST STE 110
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-5202
Country	:	US
Telephone Number	:	480-234-3626
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSHUA M HILTON
Credential	:	PMHNP
Telephone Number	:	602-492-6358

Provider Enumeration Date	:	04/05/2024
Last Update Date	:	12/02/2025

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