Organization Active NPI

Vivabest Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1033958970
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
VIVABEST PSYCHIATRY PLLC
Practice address
5654 W Bell Rd Ste C
Glendale, AZ 85308-3882
Phone
(480) 803-1066
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Felix Iyinbor Osawaru, PMHNPNPI 1083229538
Title
Director
Phone
(518) 316-9225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5654 W Bell Rd Ste C
Glendale, AZ 85308-3882

Mailing address

5654 W Bell Rd Ste C
Glendale, AZ 85308-3882
Phone (480) 803-1066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250407003203 AZ Part B Supplier - Clinic/Group Practice 3779007166 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, AZ

National Provider Directory

National Provider Directory

Locations

5654 W Bell Rd
Ste C
Glendale, AZ 85308
Phone (480) 803-1066

5949 Camp Rd
#516
Hamburg, NY 14075

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1033958970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5654 W BELL RD STE C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083882",
            "telephone_number": "480-803-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5654 W BELL RD STE C",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083882",
            "telephone_number": "480-803-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVABEST PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "OSAWARU",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "IYINBOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-316-9225",
        "authorized_official_credential": "PMHNP"
    },
    "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": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.