Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRACEWELL BEHAVIORAL HEALTH PLLC
NPI 1467399972
Nurse Practitioner in Phoenix, AZ

Q: What is Gracewell Behavioral Health PLLC's NPI number?

The NPI number for Gracewell Behavioral Health PLLC is 1467399972. It was assigned to this organization in the NPPES registry on May 1, 2026.

Q: What is Gracewell Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 01, 2026

1717 W NORTHERN AVE STE 107, PHOENIX, AZ 85021(781) 985-1314 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, May 1, 2026 (2 updates tracked since 2026).

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About Gracewell Behavioral Health Pllc NPPES

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

GRACEWELL BEHAVIORAL HEALTH PLLC (NPI 1467399972) is a healthcare organization registered as a nurse practitioner in Phoenix, Arizona and active in the NPI registry since May 2026. The organization lists Grace Nassanga, Director, as its authorized official.

NPPES Registry Identity

NPI1467399972

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameGRACEWELL BEHAVIORAL HEALTH PLLC

Location Address1717 W NORTHERN AVE STE 107Phoenix, AZ 85021-5400

Mailing Address1717 W Northern Ave Ste 107Phoenix, AZ 85021-5400

Phone(781) 985-1314

Organization SubpartNo

Authorized OfficialGrace NassangaDirector · (781) 985-1314

Enumeration DateMay 1, 2026

Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration

NPPES CertifiedJuly 14, 2026

✔ NPI 1467399972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X

1717 W NORTHERN AVE STE 107, Phoenix, AZ 85021

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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 2

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

LIMA WELLNESS LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))

1717 W NORTHERN AVE STE 107
PHOENIX, AZ 85021

Maricopa County (310) 733-0815

IDEAL TREATMENT CENTER LLC

Clinic/Center (Multi-Specialty)

1717 W NORTHERN AVE STE 107
PHOENIX, AZ 85021

Maricopa County (602) 612-2305

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 Gracewell Behavioral Health PLLC's NPI number?

The NPI number for Gracewell Behavioral Health PLLC is 1467399972. It was assigned to this organization in the NPPES registry on May 1, 2026.

Where is Gracewell Behavioral Health PLLC located?

Gracewell Behavioral Health PLLC is located at 1717 W Northern Ave Ste 107, Phoenix, AZ 85021. The listed phone number is (781) 985-1314.

What is Gracewell Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Gracewell Behavioral Health PLLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.