Healthcare Provider Details

I. General information

NPI: 1609731181
Provider Name (Legal Business Name): GRACE PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 S HIGLEY RD
GILBERT AZ
85296-4795
US

IV. Provider business mailing address

1525 S HIGLEY RD STE 104
GILBERT AZ
85296-5045
US

V. Phone/Fax

Practice location:
  • Phone: 602-975-2330
  • Fax: 602-654-2962
Mailing address:
  • Phone: 480-818-8403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RACHEL EAGER
Title or Position: PSYCHIATRIC MENTAL HEALTH NURSE PRA
Credential: PMHNP-BC
Phone: 480-818-8403