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

Cory Jay Nielsen

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083279178

Cory Jay Nielsen is a Psychiatry in Phoenix, Arizona. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2019, 7 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
AZ
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (623) 512-3181
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 950 E Van Buren St, Avondale, AZ 85323-1506 — (833) 855-9973
  • 570 W Brown Rd, Mesa, AZ 85201-3227 — (480) 344-2028

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 009762 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083279178
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 5, 2019
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2019 (7 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix