LIGHTHOUSE PSYCHIATRY LLC
NPI 1326596719
Psychiatry & Neurology - Psychiatry in Gilbert, AZ

Q: What is Lighthouse Psychiatry LLC's NPI number?

The NPI number for Lighthouse Psychiatry LLC is 1326596719. It was assigned to this organization in the NPPES registry on September 14, 2016.

Q: What is Lighthouse Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since September 14, 2016CLIA Certified · 2 labs

4001 E BASELINE RD, SUITE B-7, GILBERT, AZ 85234(480) 565-6440(480) 454-1085 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2022, Oct 18, 2021, Sep 14, 2016 (3 updates tracked since 2016).

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About Lighthouse Psychiatry Llc NPPES

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

LIGHTHOUSE PSYCHIATRY LLC (NPI 1326596719) is a healthcare organization registered as a psychiatry in Gilbert, Arizona and active in the NPI registry since September 2016. The organization holds 2 active CLIA laboratory certificates and lists Connie Decker, Credentialing Manage, as its authorized official.

NPPES Registry Identity

NPI1326596719

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameLIGHTHOUSE PSYCHIATRY LLC

Location Address4001 E BASELINE RD, SUITE B-7Gilbert, AZ 85234-2726

Mailing Address4001 E Baseline Rd, Suite B-7Gilbert, AZ 85234-2726 · (480) 565-6440 · Fax (480) 454-1085

Phone(480) 565-6440

Fax(480) 454-1085

Organization SubpartNo

Authorized OfficialConnie DeckerCredentialing Manage · (480) 269-2971

Enumeration DateSeptember 14, 2016

Last NPPES UpdateMay 17, 20223 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1326596719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

4001 E BASELINE RD, Gilbert, AZ 85234

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2313878

Lighthouse Psychiatry · Gilbert, AZ

Active · expires Nov 7, 2026

CLIA Number03D2313878

Laboratory TypePhysician Office

Certificate Effective DateNovember 8, 2024

Certificate Expiration DateNovember 7, 2026

Laboratory DirectorChung Trinh

Laboratory Phone(801) 809-8157

Laboratory LocationLighthouse Psychiatry4001 E Baseline Rd Ste 204, Gilbert, AZ 85234

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 03D2314817

Lighthouse Psychiatry Scottsdale · Scottsdale, AZ

Active · expires Nov 28, 2026

CLIA Number03D2314817

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2024

Certificate Expiration DateNovember 28, 2026

Laboratory DirectorFrank J. Genova

Laboratory Phone(480) 565-6440

Laboratory LocationLighthouse Psychiatry Scottsdale15300 N 90th St Ste 750, Scottsdale, AZ 85260

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

CIGNA HEALTHCARE OF ARIZONA, INC.

Clinic/Center (Ambulatory Surgical)

4001 E BASELINE RD, SUITE 102
GILBERT, AZ 85234

Maricopa County (480) 632-4060

MELISSA J JOHNSON OTR

Occupational Therapist (Pediatrics)

4001 E BASELINE RD, STE B2
GILBERT, AZ 85234

Maricopa County (480) 539-5629

SAMUEL A BALK MD

Family Medicine

4001 E BASELINE RD
GILBERT, AZ 85234

Maricopa County (480) 632-4060

CENTRAL ARIZONA GI & LIVER INSTITUTE LLC

Clinic/Center (Ambulatory Surgical)

4001 E BASELINE RD, SUITE 102
GILBERT, AZ 85234

Maricopa County (480) 565-8045

CRAZY ABOUT KIDS PULMONARY SERVICES LLC

Pediatrics (Pediatric Pulmonology)

4001 E BASELINE RD, STE 205
GILBERT, AZ 85234

Maricopa County (480) 892-2260

PROFESSIONAL RADIOLOGY CONSULTANTS

Radiology (Diagnostic Radiology)

4001 E BASELINE RD, SUITE 105
GILBERT, AZ 85234

Maricopa County (480) 222-4041

CECILIA DURBAN DIMAANO M.D.

Specialist

4001 E BASELINE RD, STE 205
GILBERT, AZ 85234

Maricopa County (480) 962-7510

TRACI D ARNEY N.P.

Nurse Practitioner

4001 E BASELINE RD, SUITE 205
GILBERT, AZ 85234

Maricopa County (480) 892-2260

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 Lighthouse Psychiatry LLC's NPI number?

The NPI number for Lighthouse Psychiatry LLC is 1326596719. It was assigned to this organization in the NPPES registry on September 14, 2016.

Where is Lighthouse Psychiatry LLC located?

Lighthouse Psychiatry LLC is located at 4001 E Baseline Rd Suite B-7, Gilbert, AZ 85234. The listed phone number is (480) 565-6440.

What is Lighthouse Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Does Lighthouse Psychiatry LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Lighthouse Psychiatry LLC was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.