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NPI Code Detail

MEDICARE: DR. MICHAEL SCOTT FERRELL M.D.

MEDICARE: DR. MICHAEL SCOTT FERRELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician28889AZ
2251S00000XCommunity/Behavioral Health Agency28889AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2395174OTHERAZADHS
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518096288
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL SCOTT FERRELL M.D.
Provider Business Mailing Address
First Line : 4281 N RIVER GROVE CIR
Second Line : #219
City : TUCSON
State : AZ
Zip : 85719-1170
Country : US
Telephone Number : 520-906-6399
Fax Number : 520-879-6099
Provider Business Practice Location Address
First Line : 7490 S CAMINO DE OESTE
Second Line : CSBEHAVIORAL HEALTH DEPARTMENT
City : TUCSON
State : AZ
Zip : 85746-9308
Country : US
Telephone Number : 520-879-6060
Fax Number : 520-879-6099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 09/11/2025

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