AHP PSYCH NP PC
NPI 1649094012
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ahp Psych Np Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ahp Psych Np PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Ahp Psych Np PC enrolled in Medicare?
Yes. Ahp Psych Np PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ahp Psych Np PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Ahp Psych Np PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 20 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.
# Ahp Psych Np Pc · NPI 1649094012
Psychiatric/Mental Health organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since November 13, 2024.
## Identity
- **NPI:** 1649094012 (Entity type: Organization)
- **Enumerated:** November 13, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Kelly Black, OWNER/PMHNP
## Practice location
- **Address:** 1910 S STAPLEY DR STE 120, Mesa, AZ 85204-6676
- **Phone:** (602) 341-3303
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1649094012) · Data from the CMS NPPES public registry.