ULTIMATE PHYSICAL AND MENTAL HEALTH CLINIC LLC
NPI 1376276360
Clinic/Center - Adult Mental Health in Peoria, AZ
About Ultimate Physical And Mental Health Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ULTIMATE PHYSICAL AND MENTAL HEALTH CLINIC LLC (NPI 1376276360) is a healthcare organization registered as an adult mental health in Peoria, Arizona and active in the NPI registry since July 2022. The organization lists Patience Ronke Akhimien, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ultimate Physical And Mental Health Clinic 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 Ultimate Physical And Mental Health Clinic LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ultimate Physical And Mental Health Clinic LLC's NPI number?
The NPI number for Ultimate Physical And Mental Health Clinic LLC is 1376276360. It was assigned to this organization in the NPPES registry on July 6, 2022. The provider is also known as Ultimate physical and mental health care.
Where is Ultimate Physical And Mental Health Clinic LLC located?
Ultimate Physical And Mental Health Clinic LLC is located at 13350 N 94th Dr Ste B102, Peoria, AZ 85381. The listed phone number is (310) 956-0556.
What is Ultimate Physical And Mental Health Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Ultimate Physical And Mental Health Clinic LLC enrolled in Medicare?
Yes. Ultimate Physical And Mental Health Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ultimate Physical And Mental Health Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ultimate Physical And Mental Health Clinic 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 Ultimate Physical And Mental Health Clinic LLC was last updated on April 22, 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.
# Ultimate Physical And Mental Health Clinic Llc · NPI 1376276360
Adult Mental Health organization in Peoria, Arizona. Organization record, active in the CMS NPPES registry since July 6, 2022.
## Identity
- **NPI:** 1376276360 (Entity type: Organization)
- **Enumerated:** July 6, 2022
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Also known as:** Ultimate physical and mental health care (Other Name)
- **Organization subpart:** No
- **Authorized official:** Patience Akhimien, CEO
## Practice location
- **Address:** 13350 N 94TH DR STE B102, Peoria, AZ 85381-4826
- **Phone:** (310) 956-0556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1376276360) · Data from the CMS NPPES public registry.