What is Genesis Medical Practice Management's NPI number?

Genesis Medical Practice Management's National Provider Identifier (NPI) is 1053657361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Genesis Medical Practice Management?

Genesis Medical Practice Management is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).

Where is Genesis Medical Practice Management located?

Genesis Medical Practice Management's practice location on file with NPPES is 4620 N 16th St, Phoenix, AZ 85016-5121.

What is Genesis Medical Practice Management's phone number?

The practice phone number listed in the NPPES registry for Genesis Medical Practice Management is (602) 264-2770.

Who is the authorized official for Genesis Medical Practice Management?

The authorized official listed on Genesis Medical Practice Management's NPPES record is Daryl Millar, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Genesis Medical Practice Management's NPI active?

Yes — Genesis Medical Practice Management's NPI (1053657361) is active in the NPPES registry as of the last update on 2012-12-14.

OrganizationActive

Genesis Medical Practice Management

NPI 1053657361 · Psychologist · Phoenix, AZ

Genesis Medical Practice Management is a Psychologist organization in Phoenix, AZ (NPI 1053657361).

Provider details

NPI number: 1053657361
Entity type: Organization
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Daryl Millar, Ceo(602) 264-2770

Practice location

4620 N 16th St

E-110

Phoenix, AZ 85016-5121

Phone: (602) 264-2770

Fax: (866) 534-1701

Street-level locationGet directions

More AZ providers

Mailing address

4620 N 16th St

Phoenix, AZ 85016-5121

Specialties & taxonomies

PsychologistPrimary103T00000X
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
13 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2012-12-14
Last updated: 2012-12-14

Frequently asked questions

What is Genesis Medical Practice Management's NPI number?: Genesis Medical Practice Management's National Provider Identifier (NPI) is 1053657361, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Genesis Medical Practice Management?: Genesis Medical Practice Management is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
Where is Genesis Medical Practice Management located?: Genesis Medical Practice Management's practice location on file with NPPES is 4620 N 16th St, Phoenix, AZ 85016-5121.
What is Genesis Medical Practice Management's phone number?: The practice phone number listed in the NPPES registry for Genesis Medical Practice Management is (602) 264-2770.
Who is the authorized official for Genesis Medical Practice Management?: The authorized official listed on Genesis Medical Practice Management's NPPES record is Daryl Millar, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Genesis Medical Practice Management's NPI active?: Yes — Genesis Medical Practice Management's NPI (1053657361) is active in the NPPES registry as of the last update on 2012-12-14.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions