Roger M Mayorga, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP8136 Issued in AZ

Practice address

40 E Mitchell Dr
Suite 100 & 200
Phoenix, AZ 85012-2330

Phone

(602) 808-5800

Fax

(602) 248-7993

NPI assigned

Oct 16, 2006

Last updated

Oct 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: roger.mayorganp.p1@direct.lifewell.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lifewell Behavioral Wellness

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1689756215
  NPD (past)
• Lifewell Behavioral Wellness

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1720330194
  NPD (past)
• New Arizona Family Inc

  • Voluntary or Charitable Agency
  • Mesa, AZ
  • NPI 1841498474
  NPD (past)
• Oakwood Creative Care Inc.

  • Adult Day Care Clinic/Center
  • Mesa, AZ
  • NPI 1114388626
  NPD (past)
• Redemption Psychiatry, LLC

  • Child & Adolescent Psychiatry Physician
  • Gilbert, AZ
  • NPI 1053757278
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1053491878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122634",
            "telephone_number": "602-808-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MITCHELL DR",
            "address_2": "SUITE 100 & 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122330",
            "telephone_number": "602-808-5800",
            "fax_number": "602-248-7993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYORGA",
        "first_name": "ROGER",
        "middle_name": "M",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269427",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayo Clinic Arizona (Mayo Clinic Specialty Building)
• Mayo Clinic Arizona
• Mayo Clinic Arizona (Mayo Clinic Hospital Out Patient Pharmacy)
• Mayo Foundation for Medical Education & Research (Mayo Clinic Store - Flower of Hope)
• Kristen M Mayorga, DDS
• Julie Annette Mays, PA
• Kalinea K Mays, LMSW
• Megan Victoria Mays
• Racha Mayta
• Lourdes Araceli Maytorena, R.N.

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• 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 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.