Organization Active NPI

Nomana Healthcare PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1083575419
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NOMANA HEALTHCARE PLLC
Practice address
4410 E University Dr Ste 104
Ste 104
Mesa, AZ 85205-7104
Phone
(480) 401-9939
NPI assigned
Nov 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Mabel TobahNPI 1447004734
Title
Owner
Phone
(480) 401-9939

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 Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

4410 E University Dr Ste 104
Ste 104
Mesa, AZ 85205-7104

Mailing address

4410 E University Dr Ste 104
Ste 104
Mesa, AZ 85205-7104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260107001742 AZ Part B Supplier - Clinic/Group Practice 9537645866 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2345601Nomana Healthcare, PLLC4410 E University Dr Ste 104, Mesa, AZ 85205Certificate of waiverJun 14, 2028

National Provider Directory

National Provider Directory

Locations

4410 E University Dr
Ste 104
Mesa, AZ 85205
Phone (480) 401-9939

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1083575419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 E UNIVERSITY DR STE 104",
            "address_2": "STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 E UNIVERSITY DR STE 104",
            "address_2": "STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852057104",
            "telephone_number": "480-401-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOMANA HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "TOBAH",
        "authorized_official_first_name": "MABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-401-9939"
    },
    "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 Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.