LIGHTHOUSE PSYCHIATRY LLC
NPI 1326596719
Psychiatry & Neurology - Psychiatry in Gilbert, AZ
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
Specialties & Licenses 12
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lighthouse Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Lighthouse Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, AZCertificate of Waiver 03D2314817
Lighthouse Psychiatry Scottsdale · Scottsdale, AZFrequently 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.
Is Lighthouse Psychiatry LLC enrolled in Medicare?
Yes. Lighthouse Psychiatry LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lighthouse Psychiatry LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Lighthouse Psychiatry LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Psychiatry (3) and Clinical Social Worker (1). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
What insurance does Lighthouse Psychiatry LLC accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Cigna HealthCare of Arizona, Inc list Lighthouse Psychiatry LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Lighthouse Psychiatry Llc · NPI 1326596719
Psychiatry organization in Gilbert, Arizona. Organization record, active in the CMS NPPES registry since September 14, 2016.
## Identity
- **NPI:** 1326596719 (Entity type: Organization)
- **Enumerated:** September 14, 2016
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Connie Decker, CREDENTIALING MANAGE
## Practice location
- **Address:** 4001 E BASELINE RD, SUITE B-7, Gilbert, AZ 85234-2726
- **Phone:** (480) 565-6440 · **Fax:** (480) 454-1085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 8 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Psychiatry (3), Clinical Social Worker (1); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2022
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326596719) · Data from the CMS NPPES public registry.