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

Kanner Psychiatry PLLC

Organization Psychiatry Physician · NPI 1477095073

Kanner Psychiatry PLLC is a Psychiatry Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 E Missouri Ave
Phoenix, AZ 85014-2362
Phone: (602) 395-0718
Fax: (602) 277-8146
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence R71751 (AZ)

Record details

NPI number1477095073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Hamelin — Credentialer · (602) 308-7817
NPI enumeratedNovember 14, 2016
Last updated in NPPESNovember 14, 2016
Mailing addressPo Box 39179, Suite 200, Phoenix, AZ 85069-9179

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