Susannamma Lijan, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

246807 Issued in AZ

Practice address

6850 W Indian School Rd
Phoenix, AZ 85033-3300

Phone

(623) 469-1331

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recovery Innovations IncGroup PAC ID 1456500628, 54 clinicians

Leading Healthcare Specialist PLLCGroup PAC ID 6002246352, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: susan.nammalijan-mmcplc@contexture.medalliesmail.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leading Healthcare Specialist PLLC

  • Internal Medicine Physician
  • Peoria, AZ
  • NPI 1497390561

  AZ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Peoria, AZ
  • NPI 1609243518

  AZ

  Medicare reassignment Care Compare group NPD
• Chicanos Por la Causa Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1255416103
  NPD
• Recovery Innovations, Inc

  • Case Manager/Care Coordinator
  • Phoenix, AZ
  • NPI 1174611776
  NPD
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1902776107
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1003424102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973",
            "telephone_number": "602-344-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850333300",
            "telephone_number": "623-469-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIJAN",
        "first_name": "SUSANNAMMA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "246807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Light House Family Services
• Light-Point Wellness, LLC
• Amy Jo Light, MD.
• Esenia Linda Lightbourne, LPN
• Andrew Edward Liguori, DO
• Lauren Ashley Likewise, DPM
• Jeffrey Paul Liles, MD
• Lindsey Anne Liles, PHD
• Liliana Garcia, DDS, PC
• Lawrence D Lilien, MD

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.