Individual provider Active NPI

Meyata Farley, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1104529205
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1112447 Issued in TX
Practice address
2755 Silver Creek Rd Ste 205
Bullhead City, AZ 86442-8347
Phone
(702) 518-0137
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112447 TX Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 290570 AZ

Addresses

Primary practice location

2755 Silver Creek Rd Ste 205
Bullhead City, AZ 86442-8347

Mailing address

PO Box 1575
Red Oak, TX 75154-1562

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250502002878 TX Practitioner - Nurse Practitioner 9931626959 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holly Psychiatric Clinic PLLCGroup PAC ID 9537554456, 3 clinicians

Practice addresses (Care Compare)

5151 Flynn Pkwy
Suite 307
Corpus Christi, TX 78411-4384
Phone (361) 993-4835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
290570AZMDPsychiatric/Mental Health Nurse Practitioner
1112447TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Matters Mental Health and Wellness Clinic, PLLC Psychiatric/Mental Health CurrentSince May 21, 2025 Accepting new patients
Holly Psychiatric Clinic PLLC CurrentSince Apr 1, 2025 Accepting new patients
Beulah Family Clinic Professional Limited Liability Company CurrentSince Jan 1, 2026 Accepting new patients
Beacon Mental and Wellness Center Limited Liability Company Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients
Resilient Minds Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients

Locations

295 E Renfro St
Ste 300
Burleson, TX 76028
Phone (817) 415-2250

4444 Corona Dr
Ste 150
Corpus Christi, TX 78411
Phone (361) 389-9205

5151 Flynn Pkwy
Ste 307
Corpus Christi, TX 78411
Phone (361) 993-4835

1534 N Hampton Rd
Ste C
Desoto, TX 75115
Phone (469) 225-9850

1534 N Hampton Rd
Ste 100
Desoto, TX 75115
Phone (469) 941-4029

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFGEDD

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1104529205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1575",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751541562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 SILVER CREEK RD STE 205",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428347",
            "telephone_number": "702-518-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARLEY",
        "first_name": "MEYATA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112447",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "290570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.