NORTH VALLEY PSYCHIATRY
NPI 1548006554
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Active since July 08, 2024
21639 N 12TH AVE STE 104, PHOENIX, AZ 85027(602) 647-1853 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2024, Jul 8, 2024 (2 updates tracked since 2024).

About North Valley Psychiatry NPPES

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

NORTH VALLEY PSYCHIATRY (NPI 1548006554) is a healthcare organization registered as a psychiatry in Phoenix, Arizona and active in the NPI registry since July 2024. The organization lists Jessica Carden, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1548006554
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNORTH VALLEY PSYCHIATRY
Location Address21639 N 12TH AVE STE 104Phoenix, AZ 85027-2802
Mailing Address21639 N 12th Ave Ste 104Phoenix, AZ 85027-2802
Organization SubpartNo
Authorized OfficialJessica CardenAuthorized Official · (336) 343-5776
Enumeration DateJuly 8, 2024
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1548006554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
21639 N 12TH AVE STE 104, Phoenix, AZ 85027

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Valley Psychiatry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to North Valley Psychiatry, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1497589865
21639 N 12TH AVE STE 104
Phoenix, AZ 85027
(602) 647-1853
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548650005
21639 N 12TH AVE STE 104
Phoenix, AZ 85027
(602) 647-1853
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1053652289
250 E DUNLAP AVE
Phoenix, AZ 85020
(602) 445-0751
✔ PECOS7.9 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 North Valley Psychiatry's NPI number?

The NPI number for North Valley Psychiatry is 1548006554. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is North Valley Psychiatry located?

North Valley Psychiatry is located at 21639 N 12th Ave Ste 104, Phoenix, AZ 85027. The listed phone number is (602) 647-1853.

What is North Valley Psychiatry's specialty?

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

Is North Valley Psychiatry enrolled in Medicare?

Yes. North Valley Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Valley Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to North Valley Psychiatry. 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for North Valley Psychiatry was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.