AHP PSYCH NP PC
NPI 1649094012
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since November 13, 2024
1910 S STAPLEY DR STE 120, MESA, AZ 85204(602) 341-3303 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2025, Dec 16, 2024, Nov 13, 2024 (3 updates tracked since 2024).

About Ahp Psych Np Pc NPPES

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

AHP PSYCH NP PC (NPI 1649094012) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since November 2024. The organization lists Kelly Black, Owner/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1649094012
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameAHP PSYCH NP PC
Location Address1910 S STAPLEY DR STE 120Mesa, AZ 85204-6676
Mailing Address1910 S Stapley Dr Ste 120Mesa, AZ 85204-6676 · (602) 341-3303
Organization SubpartNo
Authorized OfficialKelly BlackOwner/pmhnp · (951) 623-7194
Enumeration DateNovember 13, 2024
Last NPPES UpdateMarch 4, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
NPI 1649094012 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
1910 S STAPLEY DR STE 120, Mesa, AZ 85204

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

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Registered Nurse (Infusion Therapy)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Nurse Practitioner (Psychiatric/Mental Health)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Naturopath
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Psychiatry & Neurology (Psychiatry)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Counselor (Professional)
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Naturopath
1910 S STAPLEY DR STE 120
MESA, AZ 85204
Nurse Practitioner (Family)
1910 S STAPLEY DR STE 120
MESA, AZ 85204

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 Ahp Psych Np PC's NPI number?

The NPI number for Ahp Psych Np PC is 1649094012. It was assigned to this organization in the NPPES registry on November 13, 2024.

Where is Ahp Psych Np PC located?

Ahp Psych Np PC is located at 1910 S Stapley Dr Ste 120, Mesa, AZ 85204. The listed phone number is (602) 341-3303.

What is Ahp Psych Np PC'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 Ahp Psych Np PC was last updated on March 4, 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.