Phoenix Holistic Psychiatry LLC
NPI 1174292221 · Psychiatry Physician · Gilbert, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phoenix Holistic Psychiatry LLC is a Psychiatry Physician organization in Gilbert, AZ (NPI 1174292221).
Provider details
- NPI number
- 1174292221
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Panchajanya Paul, Owner(678) 250-8883
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Addiction Psychiatry Physician2084P0802X
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-09-11
- Last updated
- 2023-10-05
- Certified
- 2023-10-05
Frequently asked questions
- What is Phoenix Holistic Psychiatry LLC's NPI number?
- Phoenix Holistic Psychiatry LLC's National Provider Identifier (NPI) is 1174292221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Holistic Psychiatry LLC?
- Phoenix Holistic Psychiatry LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Phoenix Holistic Psychiatry LLC located?
- Phoenix Holistic Psychiatry LLC's practice location on file with NPPES is 1425 S Higley Rd Ste 104, Gilbert, AZ 85296-4798.
- What is Phoenix Holistic Psychiatry LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Holistic Psychiatry LLC is (480) 470-0069.
- Does Phoenix Holistic Psychiatry LLC accept Medicare?
- Phoenix Holistic Psychiatry LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Phoenix Holistic Psychiatry LLC?
- The authorized official listed on Phoenix Holistic Psychiatry LLC's NPPES record is Panchajanya Paul, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Holistic Psychiatry LLC's NPI active?
- Yes — Phoenix Holistic Psychiatry LLC's NPI (1174292221) is active in the NPPES registry as of the last update on 2023-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.