MIND HEALTH RESTORATION PLLC
NPI 1114711025
Nurse Practitioner - Psychiatric/Mental Health in Queen Creek, AZ

Q: What is Mind Health Restoration PLLC's NPI number?

The NPI number for Mind Health Restoration PLLC is 1114711025. It was assigned to this organization in the NPPES registry on April 7, 2025.

Q: What is Mind Health Restoration PLLC's specialty?

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

Active since April 07, 2025

21455 S ELLSWORTH ROAD SET 25, QUEEN CREEK, AZ 85142(480) 520-1981 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, May 20, 2025, Apr 7, 2025 (3 updates tracked since 2025).

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About Mind Health Restoration Pllc NPPES

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

MIND HEALTH RESTORATION PLLC (NPI 1114711025) is a healthcare organization registered as a psychiatric/mental health in Queen Creek, Arizona and active in the NPI registry since April 2025. The organization lists Caryn Shahin, Owner, as its authorized official.

NPPES Registry Identity

NPI1114711025

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND HEALTH RESTORATION PLLC

Location Address21455 S ELLSWORTH ROAD SET 25Queen Creek, AZ 85142

Mailing Address2840 E Germann Rd # 1088Chandler, AZ 85286-1400

Phone(480) 520-1981

Organization SubpartNo

Authorized OfficialCaryn ShahinOwner · (602) 556-4643

Enumeration DateApril 7, 2025

Last NPPES UpdateJune 16, 20253 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1114711025 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

21455 S ELLSWORTH ROAD SET 25, Queen Creek, AZ 85142

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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

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 Mind Health Restoration PLLC's NPI number?

The NPI number for Mind Health Restoration PLLC is 1114711025. It was assigned to this organization in the NPPES registry on April 7, 2025.

Where is Mind Health Restoration PLLC located?

Mind Health Restoration PLLC is located at 21455 S Ellsworth Road Set 25, Queen Creek, AZ 85142. The listed phone number is (480) 520-1981.

What is Mind Health Restoration 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 Mind Health Restoration PLLC was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.