Healthcare Provider Details
I. General information
NPI: 1144949751
Provider Name (Legal Business Name): BEST YOU PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2022
Last Update Date: 11/04/2022
Certification Date: 11/04/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13430 N SCOTTSDALE RD STE 104-6
SCOTTSDALE AZ
85254-4057
US
IV. Provider business mailing address
2550 W UNION HILLS DR STE 350
PHOENIX AZ
85027-5187
US
V. Phone/Fax
- Phone: 702-665-7343
- Fax: 720-367-5067
- Phone: 702-665-7343
- Fax: 720-367-5067
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MICHAEL
K
CHISM
II
Title or Position: OWNER
Credential: PMHNP
Phone: 303-587-8592