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
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 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.
Practice location
4620 N 16th St
E-110
Phoenix, AZ 85016-5121
Phone: (602) 264-2770
Fax: (866) 534-1701
Street-level locationGet directions
Mailing address
4620 N 16th St
Phoenix, AZ 85016-5121
Registry dates
- 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.