OrganizationActive
Kanner Psychiatry PLLC
NPI 1477095073 · Psychiatry Physician · Phoenix, AZ
Provider details
- NPI number
- 1477095073
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Linda Hamelin, Credentialer(602) 308-7817
- License
- R71751 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
1300 E Missouri Ave
Phoenix, AZ 85014-2362
Phone: (602) 395-0718
Fax: (602) 277-8146
Street-level locationGet directions
Mailing address
Po Box 39179
Phoenix, AZ 85069-9179
Registry dates
- Enumerated
- 2016-11-14
- Last updated
- 2016-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.