Active NPI
Desert Tranquility Behavioral Health PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1063084796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- DESERT TRANQUILITY BEHAVIORAL HEALTH PLLC
- Practice address
- 29675 N North Valley Pkwy Unit 1077
Phoenix, AZ 85085-0783 - Phone
- (404) 447-0127
- NPI assigned
- Jul 13, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emmanuel Onyeani
- Title
- Owner
- Phone
- (404) 447-0127
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
29675 N North Valley Pkwy Unit 1077
Phoenix, AZ 85085-0783
Mailing address
29675 N North Valley Pkwy Unit 1077
Phoenix, AZ 85085-0783
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626134400000",
"number": "1063084796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29675 N NORTH VALLEY PKWY UNIT 1077",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850850783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29675 N NORTH VALLEY PKWY UNIT 1077",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850850783",
"telephone_number": "404-447-0127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT TRANQUILITY BEHAVIORAL HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-13",
"last_updated": "2021-07-13",
"certification_date": "2021-07-13",
"status": "A",
"authorized_official_last_name": "ONYEANI",
"authorized_official_first_name": "EMMANUEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-447-0127"
},
"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 Phoenix, AZ
- Desert Sun Hospice Corporation
- Desert Sun Pediatrics PC
- Desert Surgical Assistants, LLC
- Desert Surgical Specialists, PLLC
- Desert TMS LLC
- Desert Transplants, P.C.
- Desert Tree Therapy
- Desert Valley Advanced Pain Management, PLLC
- Desert Valley Dermatology PLC
- Desert Valley Health Corp (First Day Homecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.