Indy Health PLLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

INDY HEALTH PLLC

Practice address

10240 N 31St Ave Ste 109
Phoenix, AZ 85051-9564

Phone

(602) 828-1975

Fax

(602) 858-6041

NPI assigned

Jun 27, 2026

Organization subpart

No

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

Authorized official

Name

Jennifer Godley, PMHNP

Title

Owner

Phone

(602) 828-1975

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1174449631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519564",
            "telephone_number": "602-828-1975",
            "fax_number": "602-858-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10240 N 31ST AVE STE 109",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519564",
            "telephone_number": "602-828-1975",
            "fax_number": "602-858-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDY HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "GODLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-828-1975",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.