Healthcare Provider Details

I. General information

NPI: 1811749443
Provider Name (Legal Business Name): BASELINE PSYCHIATRY PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2024
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16421 N TATUM BLVD STE 203
PHOENIX AZ
85032-3457
US

IV. Provider business mailing address

16421 N TATUM BLVD STE 203
PHOENIX AZ
85032-3457
US

V. Phone/Fax

Practice location:
  • Phone: 602-345-0466
  • Fax: 727-245-0166
Mailing address:
  • Phone: 602-345-0466
  • Fax: 727-245-0166

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JOSHUA M HILTON
Title or Position: PMHNP
Credential:
Phone: 480-234-3626