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CAMELBACK PHYSICIANS GROUP LLC
NPI 1700637196
Psychiatry & Neurology - Psychiatry in Phoenix, AZ

Active since April 01, 2024CLIA 03D2259472 · Waiver
4527 N 16TH ST # 201, PHOENIX, AZ 85016(480) 267-0315 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 22, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Camelback Physicians Group Llc NPPES

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

CAMELBACK PHYSICIANS GROUP LLC (NPI 1700637196) is a healthcare organization registered as a psychiatry in Phoenix, Arizona and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Christopher Newman, Coo, as its authorized official.

NPPES Registry Identity

NPI1700637196
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameCAMELBACK PHYSICIANS GROUP LLC
Location Address4527 N 16TH ST # 201Phoenix, AZ 85016-5352
Mailing Address4527 N 16th St # 201Phoenix, AZ 85016-5352
Phone(480) 267-0315
Organization SubpartNo
Authorized OfficialChristopher NewmanCoo · (760) 835-7562
Enumeration DateApril 1, 2024
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
✔ NPI 1700637196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4527 N 16TH ST # 201, Phoenix, AZ 85016
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Other Identifiers 5

Medicaid090924AZ
Medicaid123664AZ
Medicaid156458AZ
Medicaid431974AZ
Medicaid122470AZ

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 03D2259472

Camelback Physicians Group · Phoenix, AZ
Active · expires May 4, 2028
CLIA Number03D2259472
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorMichael Vines
Laboratory Phone(480) 721-0443
Laboratory LocationCamelback Physicians Group4527 N 16th St Ste 201, Phoenix, AZ 85016
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Camelback Physicians Group LLC's NPI number?

The NPI number for Camelback Physicians Group LLC is 1700637196. It was assigned to this organization in the NPPES registry on April 1, 2024.

Where is Camelback Physicians Group LLC located?

Camelback Physicians Group LLC is located at 4527 N 16th St # 201, Phoenix, AZ 85016. The listed phone number is (480) 267-0315.

What is Camelback Physicians Group LLC's specialty?

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

Does Camelback Physicians Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2259472) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Camelback Physicians Group LLC accept?

Health plans from Cigna HealthCare of Arizona, Inc list Camelback Physicians Group 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 Camelback Physicians Group LLC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.