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

Matthew Deise

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1760021885

Matthew Deise is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with Dr Gregory Carr MD LLC, an 11-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Phone: (602) 230-7373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 460 N Mesa Dr Ste 201, Mesa, AZ 85201-5957 — (877) 931-9142

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 236093 (AZ)

Record details

NPI number1760021885
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021
Mailing address5550 N 16th St Apt 175, Phoenix, AZ 85016-2946

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dr Gregory Carr Md Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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