Lighthouse Psychiatry LLC
Lighthouse Psychiatry LLC is a healthcare organization registered as Psychiatry Physician in Gilbert, AZ, holding Type 2 (organization) NPI 1326596719 since 2016. The authorized official on file is Connie Decker, Credentialing Manage.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1326596719 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Lighthouse Psychiatry LLC |
| Practice address | 4001 E BASELINE RD, SUITE B-7, Gilbert, AZ, 85234 |
| Phone | 4805656440 |
| Fax | 4804541085 |
| Enumeration date | 2016-09-14 |
| Last updated in NPPES | 2022-05-17 |
Authorized official
| Name | Connie Decker |
|---|---|
| Title | Credentialing Manage |
| Phone | 4802692971 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1041C0700X | Clinical Social Worker | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Secondary | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | Secondary | — | — |
| 2084P0800X | Psychiatry Physician | Primary | — | — |
Copy-ready billing details
Provider: Lighthouse Psychiatry LLC NPI: 1326596719 Taxonomy: 2084P0800X (Psychiatry Physician) Address: 4001 E BASELINE RD, SUITE B-7, Gilbert, AZ, 85234
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164401691 | Samuel Balk | Individual | Family Medicine Physician | Gilbert, AZ |
| 1407825235 | Traci Arney | Individual | Nurse Practitioner | Gilbert, AZ |
| 1760425318 | Coester Cares Therapy Services, LLC | Organization | Occupational Therapist | Gilbert, AZ |
| 1760418008 | Arizona Skin and Laser Therapy Institute, Ltd | Organization | Dermatology Physician | Gilbert, AZ |
| 1073627162 | Cigna Healthcare of Arizona, Inc. | Organization | Ambulatory Surgical Clinic/Center | Gilbert, AZ |
| 1275635864 | Cecilia Dimaano | Individual | Specialist | Gilbert, AZ |
| 1841399243 | Mitchell Factor | Individual | Diagnostic Radiology Physician | Gilbert, AZ |
| 1124199898 | Melissa Johnson | Individual | Pediatric Occupational Therapist | Gilbert, AZ |
Verify this record
Cross-check NPI 1326596719 against the authoritative CMS record: view Lighthouse Psychiatry LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Lighthouse Psychiatry LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-05-17.