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VIRTUAL MED
NPI 1104609932
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since August 15, 2023
4140 E BASELINE RD STE 101, MESA, AZ 85206(480) 603-8859 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2024, May 13, 2024, May 9, 2024 and 2 more (5 updates tracked since 2023).

About Virtual Med NPPES

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

VIRTUAL MED (NPI 1104609932) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since August 2023. The organization maintains 3 additional practice locations and lists Mianna Gale, Owner, as its authorized official.

NPPES Registry Identity

NPI1104609932
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIRTUALMED PLLC
Location Address4140 E BASELINE RD STE 101Mesa, AZ 85206-4413
Mailing AddressPo Box 51504Mesa, AZ 85208-0076 · (480) 603-8859
Phone(480) 603-8859
Organization SubpartNo
Authorized OfficialMianna GaleOwner · (480) 603-8859
Enumeration DateAugust 15, 2023
Last NPPES UpdateSeptember 17, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1104609932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4140 E BASELINE RD STE 101, Mesa, AZ 85206
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Other Names 1

Doing Business AsVirtual Med

Secondary Practice Locations 3

Location 13003 32nd Ave S Ste 240Fargo, ND 58103-6118 · Phone (480) 603-8859
Location 21001 S Main St Ste 600Kalispell, MT 59901-5635 · Phone (480) 603-8859
Location 330 N Gould St Ste NSheridan, WY 82801-6317 · Phone (480) 603-8859

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

Other Providers at the Same Location NPPES 20

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

SONYA KAYLENE DAVIS LCSW
Counselor (Mental Health)
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (480) 482-1838
WILLIAM MICHAEL MUNION MA, LPC
Marriage & Family Therapist
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (802) 507-8954
LIFESTREAM COUNSELING LLC
Counselor (Mental Health)
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (480) 294-0360
SPIRIT OF SONORA COUNSELING AND WELLNESS PLLC
Community/Behavioral Health
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (480) 275-9308
POINT NORTH THERAPEUTIC SERIVCES, PLLC
Social Worker (Clinical)
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (602) 805-4100
EDGELINE AUDIOLOGY PLLC
Audiologist
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (480) 545-2215
EDWARD STANLEY LEYBA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (480) 582-2955
MRS. DELILAH A MONTOYA MS, LAC
Counselor (Mental Health)
4140 E BASELINE RD STE 101
MESA, AZ 85206
Maricopa County (602) 412-8753

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 Virtualmed PLLC's NPI number?

The NPI number for Virtualmed PLLC is 1104609932. It was assigned to this organization in the NPPES registry on August 15, 2023. The provider is doing business as Virtual Med.

Where is Virtualmed PLLC located?

Virtualmed PLLC is located at 4140 E Baseline Rd Ste 101, Mesa, AZ 85206. The listed phone number is (480) 603-8859.

What is Virtualmed 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 Virtualmed PLLC was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.