DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KICKSTART PSYCHIATRY

MEDICARE: KICKSTART PSYCHIATRY
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number : 1598581282
Entity Type Code : Organization
Provider Name (Legal Business Name) : KICKSTART PSYCHIATRY
Provider Business Mailing Address
First Line : 2325 E CAMELBACK RD STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3514
Country : US
Telephone Number : 480-979-0827
Fax Number : 480-210-8294
Provider Business Practice Location Address
First Line : 2325 E CAMELBACK RD STE 400
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-3514
Country : US
Telephone Number : 480-979-0827
Fax Number : 480-210-8294
Authorized Official
Title or Position : OWNER AND NURSE PRACTITIONER
Name : MIROSLAV ILIEFF
Credential : PMHNP
Telephone Number : 480-979-0827
Provider Enumeration Date : 11/26/2024
Last Update Date : 02/26/2025

Similar Medicare Providers

1083297725 — DR. ERIKA RIVAS APRN
Practice Location Address:
2325 E CAMELBACK RD STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 602-834-8638
Practice Fax: 724-673-8247
1851022198 — ALEXANDRA MOORE
Practice Location Address:
2325 E CAMELBACK RD STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 602-805-8200
Practice Fax:
1679353031 — ABSOLUTE SOFTLIFE HOMECARE CORPRATION
Practice Location Address:
2325 E CAMELBACK RD STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 480-416-2649
Practice Fax:
1639912348 — BOBBY ELLIS
Practice Location Address:
2325 E CAMELBACK RD STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 954-951-3482
Practice Fax:
1578370888 — MOORE PSYCHIATRY
Practice Location Address:
2325 E CAMELBACK RD STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 602-805-8200
Practice Fax:
1619780335 — DIGNITY FIRST CARE AT HOME LLC
Practice Location Address:
2325 E CAMELBACK ROAD, STE 400
PHOENIX, AZ
85016-3514
Practice Phone: 480-559-9138
Practice Fax:

Directions to “KICKSTART PSYCHIATRY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.