# KICKSTART PSYCHIATRY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598581282
- **Authorized official:** MIROSLAV ILIEFF PMHNP (OWNER AND NURSE PRACTITIONER)
- **Authorized official phone:** (480) 979-0827

## Contact information

- **Practice address:** 2325 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3514
- **Practice address phone:** (480) 979-0827
- **Practice address fax:** (480) 210-8294
- **Mailing address:** 2325 E CAMELBACK RD STE 400, PHOENIX, AZ 85016-3514
- **Mailing address phone:** (480) 979-0827
- **Mailing address fax:** (480) 210-8294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2024
- **Last updated:** 02/26/2025