PEORIA MIND AND WELLNESS PLLC
NPI 1407598063
Nurse Practitioner - Psychiatric/Mental Health in Peoria, AZ

Q: What is Peoria Mind And Wellness PLLC's NPI number?

The NPI number for Peoria Mind And Wellness PLLC is 1407598063. It was assigned to this organization in the NPPES registry on April 12, 2022.

Q: What is Peoria Mind And Wellness PLLC's specialty?

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

Active since April 12, 2022

9196 W MINE TRL, PEORIA, AZ 85383(602) 820-4104 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Peoria Mind And Wellness Pllc NPPES

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

PEORIA MIND AND WELLNESS PLLC (NPI 1407598063) is a healthcare organization registered as a psychiatric/mental health in Peoria, Arizona and active in the NPI registry since April 2022. The organization lists Caroline Miya, Np, as its authorized official.

NPPES Registry Identity

NPI1407598063

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NamePEORIA MIND AND WELLNESS PLLC

Location Address9196 W MINE TRLPeoria, AZ 85383-5129

Mailing Address9196 W Mine TrlPeoria, AZ 85383-5129

Phone(602) 820-4104

Organization SubpartNo

Authorized OfficialCaroline MiyaNp · (602) 820-4104

Enumeration DateApril 12, 2022

NPPES CertifiedApril 12, 2022

✔ NPI 1407598063 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

9196 W MINE TRL, Peoria, AZ 85383

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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

Other Providers at the Same Location NPPES

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

STARLIGHT WELLNESS LLC

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

9196 W MINE TRL
PEORIA, AZ 85383

Maricopa County (602) 820-4104

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 Peoria Mind And Wellness PLLC's NPI number?

The NPI number for Peoria Mind And Wellness PLLC is 1407598063. It was assigned to this organization in the NPPES registry on April 12, 2022.

Where is Peoria Mind And Wellness PLLC located?

Peoria Mind And Wellness PLLC is located at 9196 W Mine Trl, Peoria, AZ 85383. The listed phone number is (602) 820-4104.

What is Peoria Mind And Wellness PLLC'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 Peoria Mind And Wellness PLLC was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.