MEDICARE: GRACE 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
1	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1609731181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRACE PSYCHIATRY

Provider Business Mailing Address
First Line	:	1525 S HIGLEY RD STE 104
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-5045
Country	:	US
Telephone Number	:	480-818-8403
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 S HIGLEY RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4795
Country	:	US
Telephone Number	:	602-975-2330
Fax Number	:	602-654-2962

Authorized Official
Title or Position	:	PSYCHIATRIC MENTAL HEALTH NURSE PRA
Name	:	RACHEL EAGER
Credential	:	PMHNP-BC
Telephone Number	:	480-818-8403

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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Directions to “GRACE PSYCHIATRY ” Practice Location

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