MARYVALE INTEGRATED MEDICAL GROUP - LLC – NPI #1467656991
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

MARYVALE INTEGRATED MEDICAL GROUP - LLC is a psychiatry & neurologist located in PHOENIX, AZ. NPPES has assigned the NPI number 1467656991 to MARYVALE INTEGRATED MEDICAL GROUP - LLC on June 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARYVALE INTEGRATED MEDICAL GROUP - LLC below.

NPI Profile for
MARYVALE INTEGRATED MEDICAL GROUP - LLC

NPI Number
1467656991
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MARYVALE INTEGRATED MEDICAL GROUP - LLC
Primary location
5251 W CAMPBELL AVE
STE 206
PHOENIX, AZ 85031
Phone: (623) 848-3020 Fax: (623) 848-3019
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS PERRY
MD PRESIDENT
Phone: (623) 848-3295
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)		 AZ

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.