BETHEL HILLS CLINIC
NPI 1902491699
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Bethel Hills Integrated Healthcare PLLC's specialty?

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

Active since March 04, 2021

13838 S 46TH PL STE 340, PHOENIX, AZ 85044(832) 542-3181 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2022, Mar 4, 2021 (2 updates tracked since 2021).

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About Bethel Hills Clinic NPPES

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

BETHEL HILLS CLINIC (NPI 1902491699) is a healthcare organization registered as a psychiatric/mental health in Phoenix, Arizona and active in the NPI registry since March 2021. The organization maintains a secondary practice location in Phoenix and lists Olubukola Komolafe, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1902491699

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameBETHEL HILLS INTEGRATED HEALTHCARE PLLC

Location Address13838 S 46TH PL STE 340Phoenix, AZ 85044-7805

Mailing Address13838 S 46th Pl Ste 340Phoenix, AZ 85044-7805 · (832) 542-3181

Phone(832) 542-3181

Organization SubpartNo

Authorized OfficialOlubukola KomolafeMedical Director · (832) 542-3181

Enumeration DateMarch 4, 2021

Last NPPES UpdateFebruary 14, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2022

✔ NPI 1902491699 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 ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

13838 S 46TH PL STE 340, Phoenix, AZ 85044

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Other Names 1

Doing Business AsBethel Hills Clinic

Secondary Practice Location 1

Location 113838 S 46th Pl Ste 300Phoenix, AZ 85044-7804 · Phone (832) 542-3181

Other Identifiers 2

Medicaid084714AZ

Medicaid606122AZ

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.

OLUBUKOLA KOMOLAFE NURSE PRACTITIONER

Nurse Practitioner (Psychiatric/Mental Health)