Active NPI
Psychiatric Remedy PLLC
- Psychiatric/Mental Health Nurse Practitioner
- New River, AZ
National Provider Identifier
1124771597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PSYCHIATRIC REMEDY PLLC
- Practice address
- 4310 W Phalen Dr
New River, AZ 85087-5986 - Phone
- (602) 718-7637
- NPI assigned
- Jan 27, 2022
- Last updated
- Jan 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Engelbert Marrero, PMHNP-BC
- Title
- Psychiatric Nurse Practitioner
- Phone
- (602) 718-7637
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4310 W Phalen Dr
New River, AZ 85087-5986
Mailing address
4310 W Phalen Dr
New River, AZ 85087-5986
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Surprise, AZ
- NPI 1457648107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1124771597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4310 W PHALEN DR",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850875986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4310 W PHALEN DR",
"city": "NEW RIVER",
"state": "AZ",
"postal_code": "850875986",
"telephone_number": "602-718-7637"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHIATRIC REMEDY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "MARRERO",
"authorized_official_first_name": "ENGELBERT",
"authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
"authorized_official_telephone_number": "602-718-7637",
"authorized_official_name_prefix": "Mr.",
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in New River, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.