Cory Jay Nielsen
Psychiatry & Neurology, Psychiatry in Avondale, AZ. Individual provider (NPI-1).
NPI number1083279178
StatusActive
Last updated in NPPESAug 26, 2026
Details
- NPI
- 1083279178
- Entity type
- Individual (NPI-1)
- Name
- Cory Jay Nielsen
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 5, 2019
- Certification date
- Aug 26, 2026
- Last updated
- Aug 26, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 009762 | AZ | Yes |
Practice location
950 E Van Buren StAvondale, AZ 85323-1506
Phone 833-855-9973
Mailing address
8088 W Whitney DrPeoria, AZ 85345-6564
Other practice locations
570 W Brown Rd
Mesa, AZ 85201-3227
Mesa, AZ 85201-3227
Phone 480-344-2028
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phoenix, AZ 85008-4973
Phone 623-512-3181
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Psychiatry Physician providers in Avondale, AZ
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All 6 Psychiatry Physician providers in Avondale · All 2,059 providers in Avondale
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