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IDEAL SELF LLC
NPI 1467182774
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since June 10, 2022
12620 N CAVE CREEK RD STE 10A, PHOENIX, AZ 85022(623) 303-6777 Get Directions Write a Review

NPPES record last updated: March 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2023, Jun 10, 2022 (2 updates tracked since 2022).

About Ideal Self Llc NPPES

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

IDEAL SELF LLC (NPI 1467182774) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since June 2022. The organization lists Angela Childs, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1467182774
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIDEAL SELF LLC
Location Address12620 N CAVE CREEK RD STE 10APhoenix, AZ 85022-6528
Mailing Address12620 N Cave Creek Rd Ste 10aPhoenix, AZ 85022-6528 · (623) 303-6777
Phone(623) 303-6777
Organization SubpartNo
Authorized OfficialAngela ChildsOwner/provider · (623) 303-6777
Enumeration DateJune 10, 2022
Last NPPES UpdateMarch 19, 20232 updates tracked since enumeration
NPPES CertifiedMarch 19, 2023
✔ NPI 1467182774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
12620 N CAVE CREEK RD STE 10A, Phoenix, AZ 85022
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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 Ideal Self LLC's NPI number?

The NPI number for Ideal Self LLC is 1467182774. It was assigned to this organization in the NPPES registry on June 10, 2022.

Where is Ideal Self LLC located?

Ideal Self LLC is located at 12620 N Cave Creek Rd Ste 10A, Phoenix, AZ 85022. The listed phone number is (623) 303-6777.

What is Ideal Self 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 Ideal Self LLC was last updated on March 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.