FOOTHILLS PSYCHIATRIC SERVICES PLLC
NPI 1750901088
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Q: What is Foothills Psychiatric Services PLLC's NPI number?

The NPI number for Foothills Psychiatric Services PLLC is 1750901088. It was assigned to this organization in the NPPES registry on April 16, 2020.

Q: What is Foothills Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since April 16, 2020

1921 S ALMA SCHOOL RD STE 312, MESA, AZ 85210(480) 608-4877(480) 608-4878 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Dec 31, 2020, Aug 11, 2020 and 1 more (4 updates tracked since 2020).

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About Foothills Psychiatric Services Pllc NPPES

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

FOOTHILLS PSYCHIATRIC SERVICES PLLC (NPI 1750901088) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since April 2020. The organization maintains a secondary practice location in Phoenix and lists Simon George, Rn, as its authorized official.

NPPES Registry Identity

NPI1750901088

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameFOOTHILLS PSYCHIATRIC SERVICES PLLC

Location Address1921 S ALMA SCHOOL RD STE 312Mesa, AZ 85210-3039

Mailing Address3546 E Windmere DrPhoenix, AZ 85048-7211 · (316) 209-7731

Phone(480) 608-4877

Fax(480) 608-4878

Organization SubpartNo

Authorized OfficialSimon GeorgeRn · (316) 209-7731

Enumeration DateApril 16, 2020

Last NPPES UpdateApril 30, 20214 updates tracked since enumeration

NPPES CertifiedApril 30, 2021

✔ NPI 1750901088 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

1921 S ALMA SCHOOL RD STE 312, Mesa, AZ 85210

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Secondary Practice Location 1

Location 13546 E Windmere DrPhoenix, AZ 85048-7211 · Phone (316) 209-7731

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Foothills Psychiatric Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Foothills Psychiatric Services PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Imma Nzomo, PMHNP

Nurse Practitioner

NPI 1629559976

1855 W BASELINE RD STE 101
Mesa, AZ 85202

(480) 831-7566

✔ PECOS✔ Accepts Medicare0.9 mi

Anne Ngaruiya

Nurse Practitioner

NPI 1962109785

1350 E MCKELLIPS RD
Mesa, AZ 85203

(480) 608-4877

✔ PECOS✔ Accepts Medicare6.0 mi

Simon George

Nurse Practitioner

NPI 1659983542

3546 E WINDMERE DR
Phoenix, AZ 85048

(316) 209-7731

✔ PECOS✔ Accepts Medicare10.0 mi

Loukisha Roberts-Higgenbotham, DNP, PMHNP-BC

Nurse Practitioner

NPI 1235527144

243 W MAIN ST
Swainsboro, GA 30401

(478) 237-2484

✔ PECOS1,710 mi

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 Foothills Psychiatric Services PLLC's NPI number?

The NPI number for Foothills Psychiatric Services PLLC is 1750901088. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is Foothills Psychiatric Services PLLC located?

Foothills Psychiatric Services PLLC is located at 1921 S Alma School Rd Ste 312, Mesa, AZ 85210. The listed phone number is (480) 608-4877.

What is Foothills Psychiatric Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Foothills Psychiatric Services PLLC enrolled in Medicare?

Yes. Foothills Psychiatric Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Foothills Psychiatric Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Foothills Psychiatric Services PLLC. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Foothills Psychiatric Services PLLC was last updated on April 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.