SANKOFA PSYCHIATRY PLLC
NPI 1073305082
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ

Active since May 19, 2025
997 S 160TH DR, GOODYEAR, AZ 85338(602) 782-6988(602) 782-6989 Get Directions Write a Review

NPPES record last updated: August 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2025, May 19, 2025 (2 updates tracked since 2025).

About Sankofa Psychiatry Pllc NPPES

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

SANKOFA PSYCHIATRY PLLC (NPI 1073305082) is a healthcare organization registered as a psychiatric/mental health in Goodyear, Arizona and active in the NPI registry since May 2025. The organization lists Felix Asiedu Koranteng, Manager, as its authorized official.

NPPES Registry Identity

NPI1073305082
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSANKOFA PSYCHIATRY PLLC
Location Address997 S 160TH DRGoodyear, AZ 85338
Mailing Address13236 N 7th St Ste 4, Pmb 366Phoenix, AZ 85022 · (602) 782-6988 · Fax (602) 782-6989
Fax(602) 782-6989
Organization SubpartNo
Authorized OfficialFelix Asiedu KorantengManager · (480) 593-7109
Enumeration DateMay 19, 2025
Last NPPES UpdateAugust 18, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1073305082 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
997 S 160TH DR, Goodyear, AZ 85338

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sankofa Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sankofa Psychiatry PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1306518139
13236 N 7TH ST STE 4
Phoenix, AZ 85022
(602) 782-6988
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sankofa Psychiatry PLLC's NPI number?

The NPI number for Sankofa Psychiatry PLLC is 1073305082. It was assigned to this organization in the NPPES registry on May 19, 2025.

Where is Sankofa Psychiatry PLLC located?

Sankofa Psychiatry PLLC is located at 997 S 160th Dr, Goodyear, AZ 85338. The listed phone number is (602) 782-6988.

What is Sankofa Psychiatry PLLC's specialty?

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

Is Sankofa Psychiatry PLLC enrolled in Medicare?

Yes. Sankofa Psychiatry PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sankofa Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sankofa Psychiatry PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sankofa Psychiatry PLLC was last updated on August 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.