Provider Demographics
NPI:1285946202
Name:ALPHA PSYCHIATRIC ASSOCIATES, P.L.L.C.
Entity type:Organization
Organization Name:ALPHA PSYCHIATRIC ASSOCIATES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:BILL
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:SBILIRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-434-4541
Mailing Address - Street 1:2525 W BERYL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-1606
Mailing Address - Country:US
Mailing Address - Phone:602-434-4541
Mailing Address - Fax:602-282-3894
Practice Address - Street 1:6015 W PEORIA AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-1213
Practice Address - Country:US
Practice Address - Phone:623-344-4400
Practice Address - Fax:623-344-4437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBS3358101273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ433722Medicaid
AZ102405OtherMEDICARE ID
AZF42583Medicare UPIN