Provider Demographics
NPI:1962584185
Name:FARIA, MONICA GABRIELA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:GABRIELA
Last Name:FARIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 13600
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85267-3600
Mailing Address - Country:US
Mailing Address - Phone:480-990-3111
Mailing Address - Fax:480-990-3114
Practice Address - Street 1:8541 E ANDERSON DR STE 105
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-5430
Practice Address - Country:US
Practice Address - Phone:480-990-3111
Practice Address - Fax:480-990-3114
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ400802084P0800X, 2084A0401X
CAA1311972084P0802X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
No2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry