GENESIS MEDICAL PRACTICE MANAGEMENT
NPI 1053657361
Psychologist in Phoenix, AZ

Active since December 14, 2012
4620 N 16TH ST, E-110, PHOENIX, AZ 85016(602) 264-2770(866) 534-1701 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Genesis Medical Practice Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MEDICAL PRACTICE MANAGEMENT (NPI 1053657361) is a healthcare organization registered as a psychologist in Phoenix, Arizona and active in the NPI registry since December 2012. The organization lists Daryl C. Millar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053657361
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameGENESIS MEDICAL PRACTICE MANAGEMENT
Location Address4620 N 16TH ST, E-110Phoenix, AZ 85016-5121
Mailing Address4620 N 16th St, E-110Phoenix, AZ 85016-5121 · (602) 264-2770 · Fax (866) 534-1701
Fax(866) 534-1701
Organization SubpartNo
Authorized OfficialDaryl C. MillarCeo · (602) 264-2770
Enumeration DateDecember 14, 2012
NPI 1053657361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

4620 N 16TH ST, Phoenix, AZ 85016

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
4620 N 16TH ST, B-209
PHOENIX, AZ 85016
Community/Behavioral Health
4620 N 16TH ST, A-101
PHOENIX, AZ 85016
Community/Behavioral Health
4620 N 16TH ST, E-110
PHOENIX, AZ 85016
Counselor
4620 N 16TH ST, SUITE E-110
PHOENIX, AZ 85016
Social Worker (Clinical)
4620 N 16TH ST, SUITE #E-110
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Genesis Medical Practice Management's NPI number?

The NPI number for Genesis Medical Practice Management is 1053657361. It was assigned to this organization in the NPPES registry on December 14, 2012.

Where is Genesis Medical Practice Management located?

Genesis Medical Practice Management is located at 4620 N 16th St E-110, Phoenix, AZ 85016. The listed phone number is (602) 264-2770.

What is Genesis Medical Practice Management's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Genesis Medical Practice Management was last updated on December 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.