=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730864034
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALING HORIZONS PSYCHIATRY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2023
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 17215 N 72ND DR STE A105
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85308-8557
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-393-3515
-----------------------------------------------------
Fax | 480-361-4264
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 17215 N 72ND DR STE A105
-----------------------------------------------------
City | GLENDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85308-8557
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-393-3515
-----------------------------------------------------
Fax | 480-361-4264
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | SAURABH JAUHARI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 480-393-3515
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------