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DR. HEATH KILGORE PSYD NPI 1447294947


NPI Information

NPI: 1447294947
Provider Name: DR. HEATH KILGORE, PSYD
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
1424 S 7TH AVE BLDG C
PHOENIX, AZ
ZIP 85007
Phone: (602) 258-3600
Get Directions

DR. Heath Kilgore, PSYD is an addiction (substance use disorder) psychologist in Phoenix, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. DR. Heath Kilgore, PSYD NPI is 1447294947. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1424 S 7TH AVE BLDG C
PHOENIX, AZ
ZIP 85007-902
Phone: (602) 258-3600
Fax: (602) 256-0514

The NPI 1447294947 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 4/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral3781ARIZONANo
2103TC0700XPsychologistClinical3781ARIZONANo
3103TC1900XPsychologistCounseling3781ARIZONANo
4103TA0400XPsychologistAddiction (Substance Use Disorder)3781ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100234MEDICAIDARIZONA
2Z111466MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.