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CORE SELF LLC
NPI 1629811674
Nurse Practitioner - Psychiatric/Mental Health in Chandler, AZ

Active since June 17, 2024
1600 W CHANDLER BLVD STE 100, CHANDLER, AZ 85224(520) 346-0831(520) 422-5545 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2025, Jun 17, 2024 (2 updates tracked since 2024).

About Core Self Llc NPPES

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

CORE SELF LLC (NPI 1629811674) is a healthcare organization registered as a psychiatric/mental health in Chandler, Arizona and active in the NPI registry since June 2024. The organization maintains a secondary practice location in Gilbert and lists Michaela Beaver, Owner, as its authorized official.

NPPES Registry Identity

NPI1629811674
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCORE SELF LLC
Location Address1600 W CHANDLER BLVD STE 100Chandler, AZ 85224-6100
Mailing Address1600 W Chandler Blvd Ste 100Chandler, AZ 85224-6100 · (480) 719-7400
Phone(520) 346-0831
Fax(520) 422-5545
Organization SubpartNo
Authorized OfficialMichaela BeaverOwner · (520) 346-0831
Enumeration DateJune 17, 2024
Last NPPES UpdateMarch 3, 20252 updates tracked since enumeration
NPPES CertifiedMarch 3, 2025
✔ NPI 1629811674 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 ListedCounselor · Mental HealthTaxonomy 101YM0800X
1600 W CHANDLER BLVD STE 100, Chandler, AZ 85224
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Secondary Practice Location 1

Location 13126 S Higley Rd Ste 104Gilbert, AZ 85295-2030 · Phone (520) 346-0831 · Fax (520) 422-5545

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 5

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

THE HELD SELF THERAPY PLLC
Social Worker (Clinical)
1600 W CHANDLER BLVD STE 100
CHANDLER, AZ 85224
Maricopa County (480) 269-3029
LAURA WOOD MC, NCC, LPC
Counselor (Professional)
1600 W CHANDLER BLVD STE 100
CHANDLER, AZ 85224
Maricopa County (480) 427-0122
BENAVIERI COUNSELING, LLC
Counselor
1600 W CHANDLER BLVD STE 100
CHANDLER, AZ 85224
Maricopa County (480) 427-0122
VANESSA BRODERICK LMSW
Social Worker
1600 W CHANDLER BLVD STE 100
CHANDLER, AZ 85224
Maricopa County (812) 569-2516
CODY GARGAC PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1600 W CHANDLER BLVD STE 100
CHANDLER, AZ 85224
Maricopa County (480) 719-7400

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 Core Self LLC's NPI number?

The NPI number for Core Self LLC is 1629811674. It was assigned to this organization in the NPPES registry on June 17, 2024.

Where is Core Self LLC located?

Core Self LLC is located at 1600 W Chandler Blvd Ste 100, Chandler, AZ 85224. The listed phone number is (520) 346-0831.

What is Core 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 Core Self LLC was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.