Herald Surya, PHMNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11012 Issued in AZ

Practice address

7440 N Oracle Rd BLDG 4
Tucson, AZ 85704-6385

Phone

(520) 308-5289

Fax

(520) 989-3025

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eastwest Wellness LLC

  dba Eastwest Integrated Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1386252351
  Medicare reassignment NPD

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1083811665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 N ORACLE RD BLDG 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046385",
            "telephone_number": "520-308-5289",
            "fax_number": "520-989-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 N ORACLE RD BLDG 4",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046385",
            "telephone_number": "520-308-5289",
            "fax_number": "520-989-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURYA",
        "first_name": "HERALD",
        "name_prefix": "Dr.",
        "credential": "PHMNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363298",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Wound Care Associates PLLC
• Jennifer L. Suriano, MD, MPH
• Nicole Andromeda Surran, R-DMT
• Lupe Cajero Surratt, PHARMD
• Surya Psychiatric Clinic PLLC
• Lucy Surya, DAOM, LAC, BSIE/MBA
• Susan B. Fleming, M.D., P.C. (Advanced Spine Care Center)
• Susan Bulen MD PLC
• Susan C Katz M.D.
• Susan S Courtney (Courtney Medical Group)

• Psychiatric/Mental Health Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.