Organization Active NPI

New Haven Mental Health PLLC

  • Psychiatry Physician
  • Gilbert, AZ
National Provider Identifier
1063082386
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW HAVEN MENTAL HEALTH PLLC
Practice address
459 N Gilbert Rd
Gilbert, AZ 85234-4591
Phone
(480) 999-9999
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Authorized official

Name
Tallan Depriest
Title
Director
Phone
(480) 999-9999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

459 N Gilbert Rd
Gilbert, AZ 85234-4591

Mailing address

1825 E Southern Ave # 35
Tempe, AZ 85282-5814

National Provider Directory

National Provider Directory

Locations

459 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 296-2363

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1063082386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E SOUTHERN AVE # 35",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 N GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344591",
            "telephone_number": "480-999-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HAVEN MENTAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "DEPRIEST",
        "authorized_official_first_name": "TALLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-999-9999"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.