Active NPI
Integrative Family and Psychiatric Care
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
National Provider Identifier
1013812106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INTEGRATIVE FAMILY AND PSYCHIATRIC CARE
- Practice address
- 4425 W Olive Ave
Glendale, AZ 85302-3843 - Phone
- (623) 329-0551
- Fax
- (725) 433-9262
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Raquel Miles, FNP
- Title
- Owner
- Phone
- (623) 329-0551
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
4425 W Olive Ave
Glendale, AZ 85302-3843
Mailing address
23853 W la Canada Blvd
Buckeye, AZ 85396-6399
Phone (623) 329-0551
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- San Tan Valley, AZ
- NPI 1881256378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1013812106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23853 W LA CANADA BLVD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853966399",
"telephone_number": "623-329-0551",
"fax_number": "725-433-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 W OLIVE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023843",
"telephone_number": "623-329-0551",
"fax_number": "725-433-9262"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATIVE FAMILY AND PSYCHIATRIC CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "RAQUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-329-0551",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Inspire Recovery Clinics, LLC.
- Inspire Wellness and Pelvic Health
- Instantmed Health Center (InstantMed Center)
- Institutional Pharmacy Solutions LLC (Institutional Pharmacy Solutions)
- Integrated Health and Support Services LLC
- Integrative Healing Counseling Service, PLLC
- Integrity Health & Wellness Center LLC
- Integrity Pain and Anesthesia PLLC (Integrity Pain and Wellness)
- Intensive Treatment Systems LLC
- Intercessory Counseling & Wellness, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.