1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Nurse Practitioner
  6. NPI Profile

MYALO MENTAL HEALTH, PLLC
NPI 1093544603
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since July 31, 2024
21639 N 12TH AVE STE 104, PHOENIX, AZ 85027(602) 647-8249 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 23, 2024, Jul 31, 2024 (2 updates tracked since 2024).

About Myalo Mental Health, Pllc NPPES

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

MYALO MENTAL HEALTH, PLLC (NPI 1093544603) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since July 2024. The organization lists Shannon Brown, Pmhnp, Owner, as its authorized official.

NPPES Registry Identity

NPI1093544603
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMYALO MENTAL HEALTH, PLLC
Location Address21639 N 12TH AVE STE 104Phoenix, AZ 85027-2802
Mailing Address21639 N 12th Ave Ste 104Phoenix, AZ 85027-2802 · (602) 647-8249
Phone(602) 647-8249
Organization SubpartNo
Authorized OfficialShannon BrownPmhnp, Owner · (602) 647-8249
Enumeration DateJuly 31, 2024
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1093544603 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
21639 N 12TH AVE STE 104, Phoenix, AZ 85027
Open in Google Maps ↗

Other Identifiers 2

OtherAP4920AZ · Certified Nurse Practitioner License
Medicaid822748AZ

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 3

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

BRIDGET HUNGERFORD PMHNP-BC, LMSW
Nurse Practitioner (Psychiatric/Mental Health)
21639 N 12TH AVE STE 104
PHOENIX, AZ 85027
Maricopa County (602) 647-1853
NORTH VALLEY PSYCHIATRY
Psychiatry & Neurology (Psychiatry)
21639 N 12TH AVE STE 104
PHOENIX, AZ 85027
Maricopa County (602) 647-1853
MS. TORI A. STOOKS N.P.
Nurse Practitioner (Psychiatric/Mental Health)
21639 N 12TH AVE STE 104
PHOENIX, AZ 85027
Maricopa County (602) 647-1853

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 Myalo Mental Health, PLLC's NPI number?

The NPI number for Myalo Mental Health, PLLC is 1093544603. It was assigned to this organization in the NPPES registry on July 31, 2024.

Where is Myalo Mental Health, PLLC located?

Myalo Mental Health, PLLC is located at 21639 N 12th Ave Ste 104, Phoenix, AZ 85027. The listed phone number is (602) 647-8249.

What is Myalo Mental Health, PLLC'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 Myalo Mental Health, PLLC was last updated on September 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.