Healthcare Provider Details

I. General information

NPI: 1730864034
Provider Name (Legal Business Name): HEALING HORIZONS PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2023
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17215 N 72ND DR STE A105
GLENDALE AZ
85308-8557
US

IV. Provider business mailing address

17215 N 72ND DR STE A105
GLENDALE AZ
85308-8557
US

V. Phone/Fax

Practice location:
  • Phone: 480-393-3515
  • Fax: 480-361-4264
Mailing address:
  • Phone: 480-393-3515
  • Fax: 480-361-4264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAURABH JAUHARI
Title or Position: PRESIDENT
Credential: MD
Phone: 480-393-3515