Myalo Mental Health, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MYALO MENTAL HEALTH, PLLC

Practice address

21639 N 12TH Ave Ste 104
Phoenix, AZ 85027-2802

Phone

(602) 647-8249

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Shannon Brown, PMHNP-BC

Title

Pmhnp, Owner

Phone

(602) 647-8249

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1093544603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802",
            "telephone_number": "602-647-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21639 N 12TH AVE STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272802",
            "telephone_number": "602-647-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYALO MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "PMHNP, OWNER",
        "authorized_official_telephone_number": "602-647-8249",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED NURSE PRACTITIONER LICENSE",
            "identifier": "AP4920",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "822748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My NP Healthcare
• My NP Healthcare PLLC
• My Phoenix Therapist, LLC
• My Sister My Friend
• My Speech Pals, PLLC
• Christan Mychajlonka, PHARMD
• Marva J. Myers-Ray, L.P.N.
• Alexis Myers
• Angela Kim Myers, RN
• Bryan L Myers, LPC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, 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 Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.