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LIFE JOURNEY PSYCHIATRIC PLLC
NPI 1609930932
Nurse Practitioner - Psychiatric/Mental Health in Chandler, AZ

Active since December 21, 2006
3655 E. BLUEBIRD PLACE, CHANDLER, AZ 85249(480) 221-5532(480) 726-3795 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Life Journey Psychiatric Pllc NPPES

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

LIFE JOURNEY PSYCHIATRIC PLLC (NPI 1609930932) is a healthcare organization registered as a psychiatric/mental health in Chandler, Arizona and active in the NPI registry since December 2006. The organization lists Lana Jeanette Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1609930932
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFE JOURNEY PSYCHIATRIC PLLC
Location Address3655 E. BLUEBIRD PLACEChandler, AZ 85249
Mailing Address3655 E. Bluebird PlaceChandler, AZ 85249 · (480) 221-5532 · Fax (480) 726-3795
Phone(480) 221-5532
Fax(480) 726-3795
Organization SubpartNo
Authorized OfficialLana Jeanette PetersonOwner · (480) 221-5532
Enumeration DateDecember 21, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1609930932 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
License✔ Licensed in AZ · RN089291
3655 E. BLUEBIRD PLACE, Chandler, AZ 85249
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Other Identifiers 1

Medicaid787757AZ

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

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 Life Journey Psychiatric PLLC's NPI number?

The NPI number for Life Journey Psychiatric PLLC is 1609930932. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Life Journey Psychiatric PLLC located?

Life Journey Psychiatric PLLC is located at 3655 E. Bluebird Place, Chandler, AZ 85249. The listed phone number is (480) 221-5532.

What is Life Journey Psychiatric 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 Life Journey Psychiatric PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.