Active NPIOrganization

Agave Psychiatry PLLC

Psychiatry & Neurology, Psychiatry in Glendale, Arizona

NPI Number1831718915
Practice location
20118 N 67TH Ave Ste 300-609, Glendale, AZ 85308-4621
Fax
602-585-0788
Last updated
February 6, 2024

Agave Psychiatry PLLC is a healthcare organization based in Glendale, AZ. The NPI number for Agave Psychiatry PLLC is 1831718915. The current practice location address is 20118 N 67TH Ave Ste 300-609, Glendale, AZ 85308-4621 and the office can be reached by phone at 602-857-8182 and by fax at 602-585-0788. The NPI was assigned on April 9, 2020 and the record was last updated in NPPES on February 6, 2024.

●Provider Profile Details

NPI Number
1831718915
Provider Name
Agave Psychiatry PLLC
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Aaron Kramer, DO · Member · 602-857-8182
Enumeration Date
April 9, 2020
Last Update Date
February 6, 2024
Certification Date
February 6, 2024
NPI Status
Active

◉Business Practice Location Address

Address
20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308-4621
State
Arizona
ZIP
85308-4621
Country
US
Phone Number
602-857-8182
Fax Number
602-585-0788

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✉Business Mailing Address

Address
20118 N 67TH Ave Ste 300-609
Glendale, AZ 85308-4621
City
Glendale
State
AZ
ZIP
85308-4621
Phone Number
602-857-8182
Fax Number
602-585-0788

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Psychiatry & Neurology, Psychiatry
193400000X - Single Specialty Group
2084P0800XYes——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Agave Psychiatry PLLC?

The NPI number of Agave Psychiatry PLLC is 1831718915. It was assigned on April 9, 2020 and is currently active in the NPPES registry.

What is the specialty of Agave Psychiatry PLLC?

Agave Psychiatry PLLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Agave Psychiatry PLLC practice?

The practice location is 20118 N 67TH Ave Ste 300-609, Glendale, AZ 85308-4621. The office can be reached at 602-857-8182 (phone) or 602-585-0788 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1831718915 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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