Individual provider Active NPI

Roya Nayeri, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1225606460
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2021029890 Issued in AZ
Practice address
4001 E Baseline Rd Ste 2044001E
Gilbert, AZ 85234-2726
Phone
(480) 565-6440
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2021029890 AZ Primary

Addresses

Primary practice location

4001 E Baseline Rd Ste 2044001E
Gilbert, AZ 85234-2726

Mailing address

10468 E Wood Dr
Scottsdale, AZ 85260-9010
Phone (480) 528-6944

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
I20211103000909 AZ Practitioner - Nurse Practitioner 1052709557 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

6677 W Thunderbird Rd BLDG
Suite I164
Glendale, AZ 85306-3762
Phone (623) 878-2100

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
78.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021029890AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Psychiatry LLC Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
Satinder S. Purewal, M.D. LLC Single Specialty CurrentSince Jun 26, 2023 Accepting new patients
Satinder S. Purewal, M.D. LLC Single Specialty PastSince Feb 18, 2024 Accepting new patients
Satinder S. Purewal, M.D. LLC Single Specialty PastSince Feb 18, 2024 Accepting new patients

Locations

42104 N Venture Dr
Ste D106
Anthem, AZ 85086
Phone (602) 625-1213

215 S Dobson Rd
Ste 4
Chandler, AZ 85224
Phone (623) 878-2100

4001 E Baseline Rd
Ste 204
Gilbert, AZ 85234
Phone (480) 269-2971

5720 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (623) 878-2100

6677 W Thunderbird Rd
Ste I164
Glendale, AZ 85306
Phone (623) 878-2100

8326 E Hartford Dr
Ste 100
Scottsdale, AZ 85255
Phone (623) 878-2100

13945 W Grand Ave
Ste 104
Surprise, AZ 85374
Phone (623) 878-2100

6891 N Oracle Rd
Ste 101
Tucson, AZ 85704
Phone (520) 416-7980

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1225606460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 E WOOD DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852609010",
            "telephone_number": "480-528-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 E BASELINE RD STE 2044001E",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342726",
            "telephone_number": "480-565-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYERI",
        "first_name": "ROYA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2021029890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.