POTTERMIND PSYCHIATRY
NPI 1952280687
Nurse Practitioner - Psychiatric/Mental Health in Chandler, AZ

Active since August 27, 2025
908 W CHANDLER BLVD STE B-3, CHANDLER, AZ 85225(480) 432-4237 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pottermind Psychiatry NPPES

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

POTTERMIND PSYCHIATRY (NPI 1952280687) is a healthcare organization registered as a psychiatric/mental health in Chandler, Arizona and active in the NPI registry since August 2025. The organization lists Taiwo Ajayi, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1952280687
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePOTTERMIND PSYCHIATRY
Location Address908 W CHANDLER BLVD STE B-3Chandler, AZ 85225-2549
Mailing Address908 W Chandler Blvd Ste B-3Chandler, AZ 85225-2549 · (480) 432-4237
Organization SubpartNo
Authorized OfficialTaiwo AjayiManaging Director · (480) 235-1582
Enumeration DateAugust 27, 2025
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
✔ NPI 1952280687 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
908 W CHANDLER BLVD STE B-3, Chandler, AZ 85225

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)

Pottermind Psychiatry 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 Pottermind Psychiatry, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1801660915
2500 E VAN BUREN ST
Phoenix, AZ 85008
(480) 432-4237
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1285981126
160 WISTERIA DR
Chelsea, AL 35043
(205) 218-1483
✔ PECOS1,454 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 Pottermind Psychiatry's NPI number?

The NPI number for Pottermind Psychiatry is 1952280687. It was assigned to this organization in the NPPES registry on August 27, 2025.

Where is Pottermind Psychiatry located?

Pottermind Psychiatry is located at 908 W Chandler Blvd Ste B-3, Chandler, AZ 85225. The listed phone number is (480) 432-4237.

What is Pottermind Psychiatry's specialty?

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

Is Pottermind Psychiatry enrolled in Medicare?

Yes. Pottermind Psychiatry is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pottermind Psychiatry?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pottermind 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Pottermind Psychiatry was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.