Healthcare Provider Details

I. General information

NPI: 1497467377
Provider Name (Legal Business Name): AZPSY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2022
Last Update Date: 12/22/2022
Certification Date: 12/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 S 7TH AVE STE 200
PHOENIX AZ
85007-4076
US

IV. Provider business mailing address

8175 E EVANS RD # 14201
SCOTTSDALE AZ
85260-3606
US

V. Phone/Fax

Practice location:
  • Phone: 623-236-2000
  • Fax:
Mailing address:
  • Phone:
  • 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: AMOL PATEL
Title or Position: OWNER
Credential: MD
Phone: 623-308-2472