MENTAL HEALTH MATTERS AZ LLC
NPI 1205539004
Nurse Practitioner in Scottsdale, AZ

Active since March 22, 2023
9700 N 91ST ST STE A115, SCOTTSDALE, AZ 85258(480) 808-9561(602) 532-7725 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2023, Mar 22, 2023 (2 updates tracked since 2023).

About Mental Health Matters Az Llc NPPES

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

MENTAL HEALTH MATTERS AZ LLC (NPI 1205539004) is a healthcare organization registered as a nurse practitioner in Scottsdale, Arizona and active in the NPI registry since March 2023. The organization lists Anzhela Davydov, Nurse Pracitioner, as its authorized official.

NPPES Registry Identity

NPI1205539004
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMENTAL HEALTH MATTERS AZ LLC
Location Address9700 N 91ST ST STE A115Scottsdale, AZ 85258-5036
Mailing Address7000 N 16th St Ste 120-290Phoenix, AZ 85020-5512
Fax(602) 532-7725
Organization SubpartNo
Authorized OfficialAnzhela DavydovNurse Pracitioner · (480) 808-9561
Enumeration DateMarch 22, 2023
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1205539004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
9700 N 91ST ST STE A115, Scottsdale, AZ 85258

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)

Mental Health Matters Az Llc 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 Mental Health Matters Az LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1194267070
4647 N 32ND ST STE 220
Phoenix, AZ 85018
(602) 907-5300
✔ PECOS✔ Accepts Medicare8.8 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 Mental Health Matters Az LLC's NPI number?

The NPI number for Mental Health Matters Az LLC is 1205539004. It was assigned to this organization in the NPPES registry on March 22, 2023.

Where is Mental Health Matters Az LLC located?

Mental Health Matters Az LLC is located at 9700 N 91st St Ste A115, Scottsdale, AZ 85258. The listed phone number is (480) 808-9561.

What is Mental Health Matters Az LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mental Health Matters Az LLC enrolled in Medicare?

Yes. Mental Health Matters Az LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Health Matters Az LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mental Health Matters Az LLC. 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 Mental Health Matters Az LLC was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.