DIVINE WELLNESS PSYCHIATRIC SERVICES
NPI 1255021960
Nurse Practitioner - Psychiatric/Mental Health in Anthem, AZ

Q: What is Divine Wellness Psychiatric Services's NPI number?

The NPI number for Divine Wellness Psychiatric Services is 1255021960. It was assigned to this organization in the NPPES registry on May 8, 2023.

Q: What is Divine Wellness Psychiatric Services's specialty?

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

Active since May 08, 2023

3880 W RANIER CT, ANTHEM, AZ 85086(602) 465-6011 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Divine Wellness Psychiatric Services NPPES

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

DIVINE WELLNESS PSYCHIATRIC SERVICES (NPI 1255021960) is a healthcare organization registered as a psychiatric/mental health in Anthem, Arizona and active in the NPI registry since May 2023. The organization lists Iheanyu Amanwanne, Director, as its authorized official.

NPPES Registry Identity

NPI1255021960

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameDIVINE WELLNESS PSYCHIATRIC SERVICES

Location Address3880 W RANIER CTAnthem, AZ 85086-8018

Mailing Address3880 W Ranier CtAnthem, AZ 85086-8018 · (602) 465-6011

Phone(602) 465-6011

Organization SubpartNo

Authorized OfficialIheanyu AmanwanneDirector · (602) 465-6011

Enumeration DateMay 8, 2023

NPPES CertifiedMay 8, 2023

✔ NPI 1255021960 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

3880 W RANIER CT, Anthem, AZ 85086

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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

Other Providers at the Same Location NPPES

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

JUDIFY HEALTH SERVICES

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

3880 W RANIER CT
ANTHEM, AZ 85086

Maricopa County (602) 465-6011

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 Divine Wellness Psychiatric Services's NPI number?

The NPI number for Divine Wellness Psychiatric Services is 1255021960. It was assigned to this organization in the NPPES registry on May 8, 2023.

Where is Divine Wellness Psychiatric Services located?

Divine Wellness Psychiatric Services is located at 3880 W Ranier Ct, Anthem, AZ 85086. The listed phone number is (602) 465-6011.

What is Divine Wellness Psychiatric Services'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 Divine Wellness Psychiatric Services was last updated on May 8, 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.