Provider Demographics
NPI:1558756841
Name:CHOKEY, DARIN (MED)
Entity Type:Individual
Prefix:
First Name:DARIN
Middle Name:
Last Name:CHOKEY
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 W SOUTHERN AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-5022
Mailing Address - Country:US
Mailing Address - Phone:480-628-6875
Mailing Address - Fax:
Practice Address - Street 1:623 W SOUTHERN AVE STE 7
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-5022
Practice Address - Country:US
Practice Address - Phone:480-962-9288
Practice Address - Fax:480-962-1293
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2079101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ927410Medicaid