Organization Active NPI

Living Hope Behavioral and Mental Health Care

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1114732054
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LIVING HOPE BEHAVIORAL AND MENTAL HEALTH CARE
Practice address
2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187
Phone
(520) 820-1193
NPI assigned
Feb 10, 2025
Last updated
Feb 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Ottilia Sibanda, NPNPI 1992280622
Title
Pmhnp
Phone
(520) 820-1193

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187

Mailing address

2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187
Phone (520) 820-1193

Other names 1

  • Living Hope Behavioral and Mental Health Care Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1114732054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275187",
            "telephone_number": "520-820-1193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275187",
            "telephone_number": "520-820-1193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE BEHAVIORAL AND MENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-09",
        "status": "A",
        "authorized_official_last_name": "SIBANDA",
        "authorized_official_first_name": "OTTILIA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "520-820-1193",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Hope Behavioral and Mental Health Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.