GRAND CANYON PSYCHIATRIC SERVICES
NPI 1609571173
Nurse Practitioner - Psychiatric/Mental Health in San Tan Valley, AZ

Active since April 03, 2023
28581 N CLOVER CIR, SAN TAN VALLEY, AZ 85143(316) 371-9196 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Canyon Psychiatric Services NPPES

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

GRAND CANYON PSYCHIATRIC SERVICES (NPI 1609571173) is a healthcare organization registered as a psychiatric/mental health in San Tan Valley, Arizona and active in the NPI registry since April 2023. The organization lists Peter Njogu, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609571173
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameGRAND CANYON PSYCHIATRIC SERVICES PLLC
Location Address28581 N CLOVER CIRSan Tan Valley, AZ 85143-5869
Mailing Address28581 N Clover CirSan Tan Valley, AZ 85143-5869 · (316) 371-9196
Organization SubpartNo
Authorized OfficialPeter NjoguCeo · (316) 371-9196
Enumeration DateApril 3, 2023
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1609571173 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
28581 N CLOVER CIR, San Tan Valley, AZ 85143

Other Names 1

Doing Business AsGrand Canyon Psychiatric Services

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.

Nurse Practitioner (Psychiatric/Mental Health)
28581 N CLOVER CIR
SAN TAN VALLEY, AZ 85143

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 Grand Canyon Psychiatric Services PLLC's NPI number?

The NPI number for Grand Canyon Psychiatric Services PLLC is 1609571173. It was assigned to this organization in the NPPES registry on April 3, 2023. The provider is doing business as Grand Canyon Psychiatric Services.

Where is Grand Canyon Psychiatric Services PLLC located?

Grand Canyon Psychiatric Services PLLC is located at 28581 N Clover Cir, San Tan Valley, AZ 85143. The listed phone number is (316) 371-9196.

What is Grand Canyon Psychiatric Services 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 Grand Canyon Psychiatric Services PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Grand Canyon Psychiatric Services 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 Grand Canyon Psychiatric Services PLLC was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.