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NIDAA BEHAVIORAL HEALTH
NPI 1588324438
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since December 20, 2021
15850 N 35TH AVE STE 1, PHOENIX, AZ 85053(480) 799-4806 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Jul 25, 2024, Dec 20, 2021 (3 updates tracked since 2021).

About Nidaa Behavioral Health NPPES

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

NIDAA BEHAVIORAL HEALTH (NPI 1588324438) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since December 2021. The organization lists Ngozika Vivian Amene, Administrator, as its authorized official.

NPPES Registry Identity

NPI1588324438
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameNIDAA LLC
Location Address15850 N 35TH AVE STE 1Phoenix, AZ 85053-3885
Mailing Address15850 N 35th Ave Ste 1Phoenix, AZ 85053-3885 · (480) 799-4806
Phone(480) 799-4806
Organization SubpartNo
Authorized OfficialNgozika Vivian AmeneAdministrator · (480) 799-4806
Enumeration DateDecember 20, 2021
Last NPPES UpdateSeptember 16, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1588324438 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
15850 N 35TH AVE STE 1, Phoenix, AZ 85053
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Other Names 1

Doing Business AsNidaa Behavioral Health

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.

GOLDEN RECOVERY CENTER LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
15850 N 35TH AVE STE 1
PHOENIX, AZ 85053
Maricopa County (602) 587-5899
NGOZIKA AMENE
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
15850 N 35TH AVE STE 1
PHOENIX, AZ 85053
Maricopa County (702) 702-2858

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 Nidaa LLC's NPI number?

The NPI number for Nidaa LLC is 1588324438. It was assigned to this organization in the NPPES registry on December 20, 2021. The provider is doing business as Nidaa Behavioral Health.

Where is Nidaa LLC located?

Nidaa LLC is located at 15850 N 35th Ave Ste 1, Phoenix, AZ 85053. The listed phone number is (480) 799-4806.

What is Nidaa 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 Nidaa LLC was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.