Terrell Donnell Pickett, is a
Psychologist - Addiction (substance Use Disorder) based in Maricopa, Arizona. Terrell Donnell Pickett is licensed to practice in * (Not Available) (license number ) and his current practice location is
22490 N Vanderveen Way, Maricopa, Arizona. He can be reached at his office (for appointments etc.) via phone at
(623) 826-4195.
NPI number for Terrell Donnell Pickett is 1033636691 and his current mailing address is Po Box 16906, Phoenix, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033636691.
Healthcare Provider's Profile
| Full Name | Terrell Donnell Pickett |
|---|
| Gender | Male |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 22490 N Vanderveen Way, Maricopa, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033636691
- Provider Enumeration Date: 08/24/2017
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Terrell Donnell Pickett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033636691 | NPI | - | NPPES |
| 6426468 | Other | AZ | DCS/OLR |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TE1100X | Psychologist - Exercise & Sports | (* (Not Available)) | Secondary |
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Terrell Donnell Pickett is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Terrell Donnell Pickett,
Po Box 16906,
Phoenix, AZ 85011-6906
Ph: (602) 279-1427 | Terrell Donnell Pickett,
22490 N Vanderveen Way,
Maricopa, AZ 85138-5569
Ph: (623) 826-4195 |
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