CANYON HAVEN PSYCHIATRY LLC
NPI 1275488082
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Q: What is Canyon Haven Psychiatry LLC's NPI number?

The NPI number for Canyon Haven Psychiatry LLC is 1275488082. It was assigned to this organization in the NPPES registry on February 27, 2026.

Q: What is Canyon Haven Psychiatry LLC's specialty?

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

Active since February 27, 2026

6120 W BELL RD STE 100A, GLENDALE, AZ 85308(480) 999-5114(480) 459-3339 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Canyon Haven Psychiatry Llc NPPES

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

CANYON HAVEN PSYCHIATRY LLC (NPI 1275488082) is a healthcare organization registered as a psychiatric/mental health in Glendale, Arizona and active in the NPI registry since February 2026. The organization lists Mary Waweru, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1275488082

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameCANYON HAVEN PSYCHIATRY LLC

Location Address6120 W BELL RD STE 100AGlendale, AZ 85308-3780

Mailing Address6120 W Bell Rd Ste 100aGlendale, AZ 85308-3780 · (480) 999-5114 · Fax (480) 459-3339

Phone(480) 999-5114

Fax(480) 459-3339

Organization SubpartNo

Authorized OfficialMary WaweruOwner Of Entity · (480) 999-5114

Enumeration DateFebruary 27, 2026

NPPES CertifiedFebruary 27, 2026

✔ NPI 1275488082 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

6120 W BELL RD STE 100A, Glendale, AZ 85308

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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

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 Canyon Haven Psychiatry LLC's NPI number?

The NPI number for Canyon Haven Psychiatry LLC is 1275488082. It was assigned to this organization in the NPPES registry on February 27, 2026.

Where is Canyon Haven Psychiatry LLC located?

Canyon Haven Psychiatry LLC is located at 6120 W Bell Rd Ste 100A, Glendale, AZ 85308. The listed phone number is (480) 999-5114.

What is Canyon Haven Psychiatry LLC'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 Canyon Haven Psychiatry LLC was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.