MICGRA PSYCH
NPI 1366255432
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Micgra Psych's NPI number?

The NPI number for Micgra Psych is 1366255432. It was assigned to this organization in the NPPES registry on January 30, 2025.

Q: What is Micgra Psych's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Micgra Psych was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since January 30, 2025

2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016(206) 905-3600 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2026, Jul 10, 2025 (2 updates tracked since 2025).

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About Micgra Psych NPPES

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

MICGRA PSYCH (NPI 1366255432) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since January 2025. The organization maintains 4 additional practice locations and lists Odette Amanda E Butler, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1366255432

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMICGRA PSYCH

Location Address2375 E CAMELBACK RD STE 600Phoenix, AZ 85016-3493

Mailing Address555 Andover Park W Ste 200Tukwila, WA 98188-3379 · (206) 905-3600 · Fax (206) 485-4710

Phone(206) 905-3600

Organization SubpartNo

Authorized OfficialOdette Amanda E ButlerPsychiatric Nurse Practitioner · (206) 905-3600

Enumeration DateJanuary 30, 2025

Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 4, 2026

✔ NPI 1366255432 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

2375 E CAMELBACK RD STE 600, Phoenix, AZ 85016

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Secondary Practice Locations 4

Location 1950 W Bannock StBoise, ID 83702-5999 · Phone (206) 905-3600

Location 22929 Allen PkwyHouston, TX 77019-7100 · Phone (206) 905-3600

Location 3500 Marquette Ave NW Ste 600Albuquerque, NM 87102-5347 · Phone (206) 905-3600

Location 4555 Andover Park W Ste 200Tukwila, WA 98188-3379 · Phone (206) 905-3600 · Fax (206) 485-4710

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES 20

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

MARINA STEPHANIE DOERING LMHC, ATR-BC

Counselor (Mental Health)