Individual provider Active NPI

Christy Nneka Olloh, DNP, RNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1134591753
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8611 Issued in AZ
Practice address
3130 N Arizona Ave
Ste 101
Chandler, AZ 85225-7162
Phone
(480) 284-8344
Fax
(480) 284-8622
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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 G157324 IA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8611 AZ Primary

Addresses

Primary practice location

3130 N Arizona Ave
Ste 101
Chandler, AZ 85225-7162

Mailing address

3130 N Arizona Ave
Ste 101
Chandler, AZ 85225-7162
Phone (972) 283-6286

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170407001301 AZ Practitioner - Nurse Practitioner 2668779901 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maricopa Christian Psychiatry Group LLCGroup PAC ID 5597025106, 4 clinicians

Practice addresses (Care Compare)

3130 N Arizona Ave
Suite 101
Chandler, AZ 85225-7162
Phone (480) 284-8344

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G157324IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Mar 9, 2017 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Maricopa Christian Psychiatry Group, LLC Psychiatric/Mental Health CurrentSince Nov 29, 2017 Accepting new patients
Emmachri Healthcare Solutions LLC CurrentSince Oct 17, 2021 Accepting new patients
Southwest Behavioral Health Services CurrentSince Mar 9, 2017 Accepting new patients

Locations

3130 N Arizona Ave
Ste 101
Chandler, AZ 85225
Phone (480) 284-8344

1515 E Cedar Ave
Flagstaff, AZ 86004
Phone (520) 779-5111

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

36375 N Gantzel Rd
Ste 103
San Tan Vly, AZ 85140
Phone (480) 987-5500

Organizations & group practices 5

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": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1134591753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N ARIZONA AVE",
            "address_2": "STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257162",
            "telephone_number": "972-283-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N ARIZONA AVE",
            "address_2": "STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257162",
            "telephone_number": "480-284-8344",
            "fax_number": "480-284-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLLOH",
        "first_name": "CHRISTY",
        "middle_name": "NNEKA",
        "name_prefix": "Dr.",
        "credential": "DNP, RNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G157324",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.