Valley Vista Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

VALLEY VISTA PSYCHIATRY PLLC

Practice address

11155 Dolfield Blvd
Owings Mills, MD 21117-3259

Phone

(480) 853-1316

NPI assigned

Apr 19, 2023

Last updated

Oct 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean N Ogu, PMHNP-BCNPI 1578234464

Title

Ceo

Phone

(480) 803-5161

Specialties & licenses 1

Addresses

Other names 1

• Jean's Psychiatry Services PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

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.

• Jean N Ogu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1578234464
  Medicare reassignment NPD Authorized official
• Anna Sama

  • Registered Nurse
  • Phoenix, AZ
  • NPI 1669161378
  NPD

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1023705225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 E BELL RD STE 114",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546405",
            "telephone_number": "480-803-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11155 DOLFIELD BLVD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173259",
            "telephone_number": "480-853-1316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Main St",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852017187",
            "country_code": "US",
            "telephone_number": "480-803-5161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY VISTA PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "OGU",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-803-5161",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean's Psychiatry Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ravinaben Vaghasia
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• Valley Vista Psychiatry LLC
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• Pamela Vandemark, PT, DPT
• Jodi Vanderhorst, LCSW-C
• Amanda Vandivier, LMSW, PHD

• Psychiatric/Mental Health Nurse Practitioner in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.