Active NPI
Jeff Allen Manley
- Psychiatric/Mental Health Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 301142
- Practice address
- 14100 N 83Rd Ave Ste 100
Peoria, AZ 85381-4621 - Phone
- (623) 583-0232
- Fax
- (623) 583-1830
- NPI assigned
- Feb 6, 2024
- Last updated
- Feb 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 301142 | AZ | Primary |
Addresses
Primary practice location
14100 N 83Rd Ave Ste 100
Peoria, AZ 85381-4621
Mailing address
924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (480) 969-3800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14100 N 83Rd Ave
Suite 100 150
Peoria, AZ 85381-5653
Phone (623) 583-0232
1840 N 95TH Ave
Suite 132
Phoenix, AZ 85037-4445
Phone (623) 932-6950
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301142 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Network | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Southwest Network, Inc. | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Southwest Network, Inc. | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients |
Locations
1465 W Chandler Blvd
Bldg A
Chandler, AZ 85224
Phone (480) 786-8200
3140 N Arizona Ave
Ste 113
Chandler, AZ 85225
Phone (480) 497-4040
11851 N 51st Ave
Ste B110
Glendale, AZ 85304
11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001
924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800
14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232
9051 W Kelton Ln
Ste 13
Peoria, AZ 85382
Phone (623) 815-5700
10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700
16251 N Cave Creek Rd
Phoenix, AZ 85032
1840 N 95th Ave
Ste 132
Phoenix, AZ 85037
Phone (623) 932-6950
20440 N 27th Ave
Phoenix, AZ 85027
2311 W Royal Palm Rd
Phoenix, AZ 85021
Phone (602) 269-5300
2444 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (602) 304-0014
2700 N Central Ave
Ste 1050
Phoenix, AZ 85004
Phone (602) 266-8402
3227 E Bell Rd
Ste 170
Phoenix, AZ 85032
Phone (480) 719-7383
4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632
9015 N 3rd St
Phoenix, AZ 85020
8705 E McDowell Rd
Scottsdale, AZ 85257
Interoperability endpoints
- jeff.manley@direct.azpir.nextgenshare.com
Organizations & group practices 8
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.
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1922232925
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1104856004
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
-
dba Copperwood II Health Center
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1326731555
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1659623882
-
dba Southwest Network
- Community/Behavioral Health Agency
- Chandler, AZ
- NPI 1487981338
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1912164039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1225892706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N COUNTRY CLUB DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852014108",
"telephone_number": "480-969-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 N 83RD AVE STE 100",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853814621",
"telephone_number": "623-583-0232",
"fax_number": "623-583-1830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLEY",
"first_name": "JEFF",
"middle_name": "ALLEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-06",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "301142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.