Mentally Free Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENTALLY FREE PSYCHIATRY LLC

Practice address

410 N Scottsdale Rd Ste 1000
Tempe, AZ 85288-7095

Phone

(470) 944-5699

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Santissa Clapp

Title

Owner

Phone

(816) 372-5279

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mentally Free Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
  • NPI 1336808039

  O20230410000846

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tosin Femi Aileru

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
  • NPI 1184484503

  Psychiatric/Mental Health

  NPD

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1003510215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W TRINITY PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303313",
            "telephone_number": "470-944-5699",
            "fax_number": "404-759-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N SCOTTSDALE RD STE 1000",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852887095",
            "telephone_number": "470-944-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 W Trinity Pl",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300303313",
            "country_code": "US",
            "telephone_number": "470-944-5699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Main St",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641052120",
            "country_code": "US",
            "telephone_number": "470-944-5699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENTALLY FREE PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "SANTISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-372-5279"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Edith Mendez, BS
• Clyde C Mendonca, MD
• Jennifer Alma Mendoza, CERTIFIED NP
• Lisa Mendoza, LAC
• Nicole Janette Menefee, PA-C
• Ruben David Mercado Jr.
• Bridget A Mercer, OTR/L
• Birju R Merchant, DDS
• David Michael Merchant, D.C.
• Dhanlaxmi R Merchant, DDS

• All providers in Tempe, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.