ULTIMATE PSYCHIATRY PLLC
NPI 1083462378
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since May 10, 2024
1155 S POWER RD STE 114, MESA, AZ 85206(832) 819-4378(253) 954-3116 Get Directions Write a Review

NPPES record last updated: May 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ultimate Psychiatry Pllc NPPES

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

ULTIMATE PSYCHIATRY PLLC (NPI 1083462378) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since May 2024. The organization lists Annabel Owusu, Owner, as its authorized official.

NPPES Registry Identity

NPI1083462378
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameULTIMATE PSYCHIATRY PLLC
Location Address1155 S POWER RD STE 114Mesa, AZ 85206-3716
Mailing Address4257 S Soboba StGilbert, AZ 85297-8263 · (832) 819-4378 · Fax (253) 954-3116
Fax(253) 954-3116
Organization SubpartNo
Authorized OfficialAnnabel OwusuOwner · (832) 819-4378
Enumeration DateMay 10, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1083462378 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
1155 S POWER RD STE 114, Mesa, AZ 85206

Other Names 1

Former Legal Business NameUltimate Psychiatry Pllc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Ultimate Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1336683440
633 E RAY RD STE 130
Gilbert, AZ 85296
(832) 819-4378
✔ PECOS✔ Accepts Medicare7.4 mi
Nurse Practitioner
NPI 1588975452
14574 SUNLAND GIN RD
Arizona City, AZ 85123
(520) 387-5651
✔ PECOS✔ Accepts Medicare45 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 Ultimate Psychiatry PLLC's NPI number?

The NPI number for Ultimate Psychiatry PLLC is 1083462378. It was assigned to this organization in the NPPES registry on May 10, 2024.

Where is Ultimate Psychiatry PLLC located?

Ultimate Psychiatry PLLC is located at 1155 S Power Rd Ste 114, Mesa, AZ 85206. The listed phone number is (832) 819-4378.

What is Ultimate Psychiatry PLLC's specialty?

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

Is Ultimate Psychiatry PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Ultimate Psychiatry PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Ultimate 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ultimate Psychiatry PLLC was last updated on May 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.