PHOENIX MENTAL HEALTH AND WELLNESS PLLC
NPI 1396227609
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since September 04, 2018
3839 N 3RD ST STE 104, PHOENIX, AZ 85012(928) 985-1495 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2026, Mar 4, 2020, Feb 18, 2020 and 3 more (6 updates tracked since 2018).

About Phoenix Mental Health And Wellness Pllc NPPES

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

PHOENIX MENTAL HEALTH AND WELLNESS PLLC (NPI 1396227609) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since September 2018. The organization maintains a secondary practice location in Flagstaff and lists Stacy Cloyd, Secretary, as its authorized official.

NPPES Registry Identity

NPI1396227609
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX MENTAL HEALTH AND WELLNESS PLLC
Location Address3839 N 3RD ST STE 104Phoenix, AZ 85012-2068
Mailing Address2450 S White Mountain Rd Ste 3Show Low, AZ 85901-7384 · (928) 985-1495
Organization SubpartNo
Authorized OfficialStacy CloydSecretary · (763) 330-4953
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJune 2, 20266 updates tracked since enumeration
NPPES CertifiedJune 2, 2026
NPI 1396227609 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
License Licensed in AZ · AP11496
3839 N 3RD ST STE 104, Phoenix, AZ 85012

Secondary Practice Location 1

Location 1930 N Switzer Canyon Dr Ste 104Flagstaff, AZ 86001-4834 · Phone (928) 985-1495

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
3839 N 3RD ST STE 104
PHOENIX, AZ 85012

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 Phoenix Mental Health And Wellness PLLC's NPI number?

The NPI number for Phoenix Mental Health And Wellness PLLC is 1396227609. It was assigned to this organization in the NPPES registry on September 4, 2018.

Where is Phoenix Mental Health And Wellness PLLC located?

Phoenix Mental Health And Wellness PLLC is located at 3839 N 3rd St Ste 104, Phoenix, AZ 85012. The listed phone number is (928) 985-1495.

What is Phoenix Mental Health And Wellness PLLC's specialty?

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

What insurance does Phoenix Mental Health And Wellness PLLC accept?

Health plans from Ambetter from Arizona Complete Health list Phoenix Mental Health And Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Phoenix Mental Health And Wellness PLLC was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.