Provider Demographics
NPI:1386836757
Name:PEER SERVICES INSTITUTE
Entity Type:Organization
Organization Name:PEER SERVICES INSTITUTE
Other - Org Name:PSI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:MICHEAL
Authorized Official - Last Name:HUNYADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-957-4096
Mailing Address - Street 1:4338 N 27TH ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5786
Mailing Address - Country:US
Mailing Address - Phone:602-957-4096
Mailing Address - Fax:
Practice Address - Street 1:4338 N 27TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-5786
Practice Address - Country:US
Practice Address - Phone:602-957-4096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-09
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ218415Medicare PIN
AZ=========Medicare PIN