MACKAY DERALD FERRIN
NPI 1003778119
Nurse Practitioner - Psychiatric/Mental Health in Gilbert, AZ
Active since November 26, 2025
About Mackay Derald Ferrin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKAY DERALD FERRIN (NPI 1003778119) is an individual psychiatric/mental health provider in Gilbert, Arizona, licensed in Arizona (245448) and active in the NPI registry since November 2025.
NPPES Registry Identity
NPI1003778119
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMACKAY DERALD FERRIN
Location Address3489 E BASELINE RDGilbert, AZ 85234-2651
Mailing Address3134 S Market St Apt 3087Gilbert, AZ 85295-1347
Phone(480) 542-1212
Sole ProprietorYes
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1003778119 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 245448
3489 E BASELINE RD, Gilbert, AZ 85234
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Psychiatric/Mental Health)
3489 E BASELINE RD
GILBERT, AZ 85234
GILBERT, AZ 85234
Nurse Practitioner (Psychiatric/Mental Health)
3489 E BASELINE RD
GILBERT, AZ 85234
GILBERT, AZ 85234
Nurse Practitioner (Psychiatric/Mental Health)
3489 E BASELINE RD
GILBERT, AZ 85234
GILBERT, AZ 85234
Nurse Practitioner (Psychiatric/Mental Health)
3489 E BASELINE RD
GILBERT, AZ 85234
GILBERT, AZ 85234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003778119, enumerated as an "individual" on November 26, 2025.
The provider is located at 3489 E BASELINE RD GILBERT, AZ 85234 and the phone number is (480) 542-1212.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
