Provider Demographics
NPI:1780397166
Name:GEARS, ADAM (PMHNP)
Entity type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:GEARS
Suffix:
Gender:M
Credentials:PMHNP
Other - Prefix:
Other - First Name:ADAM
Other - Middle Name:LONDON
Other - Last Name:GEARS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP
Mailing Address - Street 1:10105 E VIA LINDA
Mailing Address - Street 2:STE 103 #11099
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258
Mailing Address - Country:US
Mailing Address - Phone:520-585-6844
Mailing Address - Fax:480-482-7964
Practice Address - Street 1:10105 E VIA LINDA
Practice Address - Street 2:STE 103 #11099
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258
Practice Address - Country:US
Practice Address - Phone:520-585-6844
Practice Address - Fax:480-482-7964
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-02
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ285364363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health