Provider Demographics
NPI:1972376226
Name:GEARS GROUP PSYCHIATRY, PLLC
Entity Type:Organization
Organization Name:GEARS GROUP PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETER
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-268-0888
Mailing Address - Street 1:10730 N ORACLE RD UNIT 15204
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-9345
Mailing Address - Country:US
Mailing Address - Phone:520-268-0888
Mailing Address - Fax:
Practice Address - Street 1:10730 N ORACLE RD UNIT 15204
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85737-9345
Practice Address - Country:US
Practice Address - Phone:520-268-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty