Provider Demographics
NPI:1578371795
Name:MOUNTAIN VIEW PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:MOUNTAIN VIEW PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMELIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-376-2227
Mailing Address - Street 1:8600 E VIA DE VENTURA STE 202
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-3325
Mailing Address - Country:US
Mailing Address - Phone:480-376-2227
Mailing Address - Fax:845-302-8646
Practice Address - Street 1:8600 E VIA DE VENTURA STE 202
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-3325
Practice Address - Country:US
Practice Address - Phone:480-376-2227
Practice Address - Fax:845-302-8646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health