Justin McKinley, PMHNP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

194085 Issued in AZ

Practice address

1201 S Alma School Rd
Mesa, AZ 85210-2008

Phone

(480) 758-4698

Fax

(480) 631-0546

NPI assigned

Dec 15, 2020

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Water Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1699448316
  NPD Authorized official

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1053907840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD STE 11000",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102086",
            "telephone_number": "480-758-4698",
            "fax_number": "480-631-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852102008",
            "telephone_number": "480-758-4698",
            "fax_number": "480-631-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "JUSTIN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "194085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKellips Internal Medicine PLLC
• McKenna Morgan PA-C, PLLC
• Alexis Morgan McKenna, NMD
• Sarah McKenna, D.O.
• Jesika McKenzie
• Princess Estocia Sierra McKinney
• Jessica McKinnon, WHNP-BC
• Lisa L McKirchy, LCSW
• Shannon Elizabeth McKivitz, DPT
• Alyssa June McKnight

• Psychiatry Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; 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.