PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC (NPI# 1437682614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437682614 |
| Entity Type | Organization |
| Organization Name | PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC |
| Other Organization Name | PRESTIGE PSYCHIATRIC PROFESSIONALS |
| Practice Address |
8414 E Shea Blvd Suite 102 Scottsdale AZ 85260-6665 |
| Mailing Address |
3120 W Carefree Hwy Ste 1-602 Phoenix AZ 85086-3201 |
| Practice Telephone | 6029106519 |
| Practice Fax Number | 6029106519 |
| Mailing Telephone | 6029106519 |
| Mailing Fax Number | 6029106519 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | MR. PAUL ERIC LARRALDE (MEMBER) |
| Authorized Official Telephone | 6029106519 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LISAC-11647 | AZ | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC-11774 | AZ | Behavioral Health & Social Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN147893 | AZ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP5217 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Prestige Psychiatric Professionals | Doing Business As Name - Organization |
| Street Address |
8414 E SHEA BLVD SUITE 102 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-6665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588665681 | Paul Lester Underwood | Internal Medicine | 8414 E Shea Blvd, #103, Scottsdale, AZ 85260-6665 | 2005-08-10 |
| 1104363407 | Sally Oguzhan | Chiropractor | 8414 E Shea Blvd, Ste 100, Scottsdale, AZ 85260-6665 | 2017-01-24 |
| 1790115178 | Sonoran Health Specialists, Inc | Internal Medicine | 8414 E Shea Blvd, Suite 103, Scottsdale, AZ 85260-6665 | 2013-11-20 |
| 1952697203 | Nowlin Psychiatric Clinic, P.C. | Psychiatry & Neurology | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2011-06-24 |
| 1518260447 | Sigalit Sara Attias | Counselor | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2010-12-15 |
| 1386800811 | Rosollo Counseling LLC | Community/Behavioral Health | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2008-08-04 |
| 1356506448 | Gary Dean Doan | Marriage & Family Therapist | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2008-07-28 |
| 1689711723 | Geraldine Blakeman | Marriage & Family Therapist | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2007-01-30 |
| 1619020625 | Catherine Elizabeth Rosick | Counselor | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2007-01-21 |
| 1023106663 | Kristin Morris Ingebrigtson | Counselor | 8414 E Shea Blvd, Suite 102, Scottsdale, AZ 85260-6665 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733555 | Natalia Sheesley | Nurse Practitioner | 10289 E Celtic Dr, Scottsdale, AZ 85260-7254 | 2020-06-01 |
| 1356868160 | Erkan Anthony Caygoz | Nurse Practitioner | 8687 E Via De Ventura Ste 310, Scottsdale, AZ 85258-3351 | 2017-08-23 |
| 1194279976 | Pamela L Perry | Nurse Practitioner | 14301 N 87th St Ste 315, Scottsdale, AZ 85260-3692 | 2016-08-09 |
| 1366866931 | Laura Ann Hickman | Nurse Practitioner | 10446 N 74th St Ste 140, Scottsdale, AZ 85258 | 2014-02-18 |
| 1881977049 | Barbara Helen Uit Den Bogaard | Nurse Practitioner | 11587 E Raintree Dr, Scottsdale, AZ 85255-1882 | 2011-09-23 |
| 1861770950 | Strategic Mental Health, LLC | Nurse Practitioner | 8160 E Butherus Dr Ste 9, Scottsdale, AZ 85260-2523 | 2011-07-25 |
| 1881837730 | Darlene L Gile | Nurse Practitioner | 3260 N Hayden Rd. Ste 105, Faspsych, LLC, Scottsdale, AZ 85251 | 2009-04-08 |
| 1922163724 | Therese M Alme | Nurse Practitioner | 8070 E Via Bonita, Scottsdale, AZ 85258-2818 | 2006-12-22 |
| 1972688406 | Kathe Lynn Reitman | Nurse Practitioner | 6619 N Scottsdale Rd Ste 23, Scottsdale, AZ 85250-4421 | 2006-10-25 |
| 1598790230 | Mary T Fisher Pinson | Nurse Practitioner | 8035 N 85th Way Ste 113, Scottsdale, AZ 85258-4321 | 2006-07-11 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
Please comment or provide details below to improve the information on PRESTIGE PSYCHIATRIC PROFESSIONALS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.