Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gaia Virtual Medicine LLC

Organization Psychologist · NPI 1730800475

Gaia Virtual Medicine LLC is a Psychologist in Glendale, Arizona. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4494 W Peoria Ave #115A Ste 8
Glendale, AZ 85302
Phone: (602) 626-4473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Psychologist Taxonomy 103T00000X
In Home Supportive Care Agency Taxonomy 253Z00000X

Record details

NPI number1730800475
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keqiang Shen — Ceo · (480) 876-4013
NPI enumeratedSeptember 12, 2022
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address28913 N 23rd Dr, Phoenix, AZ 85085-0715

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