NPIMap

Organization Active NPI

Peace of Mind Consultants PLLC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Scottsdale, AZ
National Provider Identifier
1083088421
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
AP4318 Issued in AZ
Legal business name
PEACE OF MIND CONSULTANTS PLLC
Practice address
3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone
(480) 718-5986
Fax
(480) 947-2494
NPI assigned
Nov 23, 2015
Last updated
Nov 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Quentin Carmichael ShambleyNPI 1093935538
Title
Nurse Practitioner
Phone
(480) 718-5986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP4318 AZ Primary

Addresses

Primary practice location

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909

Mailing address

3225 N 75TH St
Suite 125
Scottsdale, AZ 85251-6909
Phone (480) 718-5986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160125001917 AZ Part B Supplier - Clinic/Group Practice 6800199845 Receives reassigned benefits from 12 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1083088421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986",
            "fax_number": "480-947-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 N 75TH ST",
            "address_2": "SUITE 125",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516909",
            "telephone_number": "480-718-5986",
            "fax_number": "480-947-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "SHAMBLEY",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "CARMICHAEL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "480-718-5986"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.