FIDEL PSYCHIATRIC HEALTH SERVICES
NPI 1033702519
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since February 16, 2021
924 W JESSICA LN, PHOENIX, AZ 85041(480) 332-8764(602) 323-1769 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 27, 2021, Feb 16, 2021 (2 updates tracked since 2021).

About Fidel Psychiatric Health Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FIDEL PSYCHIATRIC HEALTH SERVICES (NPI 1033702519) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Fidelis Osondu Ebereonwu, Director, as its authorized official.

NPPES Registry Identity

NPI1033702519
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameFIDEL PSYCHIATRIC HEALTH SERVICES
Location Address924 W JESSICA LNPhoenix, AZ 85041-3978
Mailing Address924 W Jessica LnPhoenix, AZ 85041-3978 · (480) 332-8764 · Fax (602) 323-1769
Fax(602) 323-1769
Organization SubpartNo
Authorized OfficialFidelis Osondu EbereonwuDirector · (480) 332-8764
Enumeration DateFebruary 16, 2021
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
NPI 1033702519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
924 W JESSICA LN, Phoenix, AZ 85041

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
924 W JESSICA LN
PHOENIX, AZ 85041

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fidel Psychiatric Health Services's NPI number?

The NPI number for Fidel Psychiatric Health Services is 1033702519. It was assigned to this organization in the NPPES registry on February 16, 2021.

Where is Fidel Psychiatric Health Services located?

Fidel Psychiatric Health Services is located at 924 W Jessica Ln, Phoenix, AZ 85041. The listed phone number is (480) 332-8764.

What is Fidel Psychiatric Health Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Fidel Psychiatric Health Services was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.