| Mile High Psychiatry Llc | |
|
13430 N Scottsdale Rd Ste 104-6 Scottsdale AZ 85254-4057 | |
| (702) 665-7343 | |
| (720) 367-5067 |
| Full Name | Mile High Psychiatry Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 13430 N Scottsdale Rd Ste 104-6, Scottsdale, Arizona |
| Authorized Official Name and Position | Michael K Chism (OWNER) |
| Authorized Official Contact | 3035878592 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mile High Psychiatry Llc 2550 W Union Hills Dr Ste 350 Phoenix AZ 85027-5187 Ph: (702) 665-7343 | Mile High Psychiatry Llc 13430 N Scottsdale Rd Ste 104-6 Scottsdale AZ 85254-4057 Ph: (702) 665-7343 |
| NPI Number | 1144949751 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144949751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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