Fortune Behavioral Health Services PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FORTUNE BEHAVIORAL HEALTH SERVICES PLLC

Practice address

3334 E Woodside Way
Gilbert, AZ 85297-9317

Phone

(571) 502-1822

NPI assigned

Nov 15, 2023

Organization subpart

No

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

Authorized official

Name

Irene Wanjiku Njenga, PHMNPNPI 1801509245

Title

Psychiatric Nurse Practitioner

Phone

(157) 150-2182

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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

• Irene Wanjiku Njenga

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
  • NPI 1801509245

  OR

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1063287480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 E WOODSIDE WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979317",
            "telephone_number": "571-502-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 E WOODSIDE WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979317",
            "telephone_number": "571-502-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTUNE BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "NJENGA",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "WANJIKU",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "157-150-2182",
        "authorized_official_credential": "PHMNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anisha Foster, MA, BCBA
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• Lucinda Anthmides Foster, M.ED., N.C.C., L.P.C

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, 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 Nov 15, 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.