Phoenix Mental Health & Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

PHOENIX MENTAL HEALTH & WELLNESS, PLLC

Practice address

5353 W Dartmouth Ave Ste 400
Denver, CO 80227-5517

Phone

(303) 868-5436

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Camie L Vasquez, PMHNP-BCNPI 1578177150

Title

Owner, Provider

Phone

(303) 868-5436

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

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

• Camie Lynn Vasquez, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1578177150
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1043900335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11865 W TULANE DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804651179",
            "telephone_number": "303-868-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5353 W DARTMOUTH AVE STE 400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802275517",
            "telephone_number": "303-868-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "CAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "303-868-5436",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000213185",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osgoode S Philpott, M.D.
• Peter J Philpott, M.D.
• Maggie Phipps, MS, CCC-SLP
• Phoenix Medical Supply
• Phoenix Medical Supply Specialists, LLC
• Phoenix Orthotics and Prosthetics LLC
• Phoenix Therapy LLC
• Sonemala Phommatha, PA-C
• Phonda Hackett, PSYD
• Physical and Regenerative Medicine of Colorado

• Psychiatric/Mental Health Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.