Provider Demographics
NPI:1902643885
Name:CARACCI, JOSEPH CHRIST III (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHRIST
Last Name:CARACCI
Suffix:III
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22278 E DUNCAN CT
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-5979
Mailing Address - Country:US
Mailing Address - Phone:480-888-6890
Mailing Address - Fax:
Practice Address - Street 1:22278 E DUNCAN CT
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-5979
Practice Address - Country:US
Practice Address - Phone:480-888-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ310314363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health