IYALI MENTAL WELLNESS LLC
NPI 1801645007
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Active since May 18, 2024
1255 W BASELINE RD STE B-139, MESA, AZ 85202(623) 294-9495(623) 401-6199 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 19, 2024, May 18, 2024 (2 updates tracked since 2024).

About Iyali Mental Wellness Llc NPPES

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

IYALI MENTAL WELLNESS LLC (NPI 1801645007) is a healthcare organization registered as a psychiatric/mental health in Mesa, Arizona and active in the NPI registry since May 2024. The organization lists Princess Darko-amoako, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1801645007
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIYALI MENTAL WELLNESS LLC
Location Address1255 W BASELINE RD STE B-139Mesa, AZ 85202-5820
Mailing Address1255 W Baseline Rd Ste B-139Mesa, AZ 85202-5820 · (623) 294-9495 · Fax (623) 401-6199
Fax(623) 401-6199
Organization SubpartNo
Authorized OfficialPrincess Darko-amoakoNp/owner · (623) 294-9495
Enumeration DateMay 18, 2024
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1801645007 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
1255 W BASELINE RD STE B-139, Mesa, AZ 85202

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)

Iyali Mental Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Iyali Mental Wellness LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1043775547
1255 W BASELINE RD STE B-139
Mesa, AZ 85202
(623) 294-9495
✔ PECOSSame address
Psychiatry
NPI 1427369420
3640 W OSBORN RD SUITE 1
Phoenix, AZ 85019
(602) 269-5300
✔ PECOS18 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 Iyali Mental Wellness LLC's NPI number?

The NPI number for Iyali Mental Wellness LLC is 1801645007. It was assigned to this organization in the NPPES registry on May 18, 2024.

Where is Iyali Mental Wellness LLC located?

Iyali Mental Wellness LLC is located at 1255 W Baseline Rd Ste B-139, Mesa, AZ 85202. The listed phone number is (623) 294-9495.

What is Iyali Mental Wellness LLC's specialty?

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

Is Iyali Mental Wellness LLC enrolled in Medicare?

Yes. Iyali Mental Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Iyali Mental Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Iyali Mental Wellness LLC, in Nurse Practitioner and Psychiatry. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Iyali Mental Wellness LLC was last updated on April 29, 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.