Julie Angileri, FNP, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI 1235515768 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1235515768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP10337 (AZ)
- Practice address
- 7165 E University Dr Ste 154
Mesa, AZ 85207-6412 - Phone
- (480) 818-9150
- Fax
- (623) 738-3182
- NPI assigned
- Aug 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Capstone Mental Health Inc
Practice addresses (Care Compare)
1312 SW 16TH Ave
Suite 102
Portland, OR 97201-2620
Phone (480) 818-9150
1320 Edgewater St NW
Suite 200
Salem, OR 97304-4072
Phone (541) 876-5727
1631 E Guadalupe Rd
Suite 102
Tempe, AZ 85283-3935
Phone (480) 818-9150
7165 E University Dr
Suite 154
Mesa, AZ 85207-6412
Phone (480) 818-9150
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170803000250 | AZ | Practitioner - Nurse Practitioner | 7113298597 | Reassigns benefits to 1 organization |
| I20231012000511 | OR | Practitioner - Nurse Practitioner | 7113298597 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10337 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zenden Psychiatry LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Capstone Mental Health Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Destiny'S Door Counseling Services | Past |
Accepting new patients | |
| Soulspark, LLC | Psychiatric/Mental Health | Past |
Accepting new patients |
Locations
1815 E Queen Creek Rd
Ste 1
Chandler, AZ 85286
Phone (480) 818-9150
1400 N Gilbert Rd
Ste G-2
Gilbert, AZ 85234
Phone (602) 402-1542
7165 E University Dr
Ste 154
Mesa, AZ 85207
Phone (480) 818-9150
6101 S Rural Rd
Ste 103
Tempe, AZ 85283
Phone (480) 818-9150
1631 E Guadalupe Rd
Ste 102
Tempe, AZ 85283
Phone (480) 788-0877
1312 SW 16th Ave
Ste 102
Portland, OR 97201
Phone (480) 818-9150
1320 Edgewater St NW
Ste 200
Salem, OR 97304
Phone (541) 470-8170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10337 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10337 | AZ | Yes |
Addresses
Primary practice location
7165 E University Dr Ste 154
Mesa, AZ 85207-6412
Mailing address
7165 E University Dr Ste 154
Mesa, AZ 85207-6412
Phone (480) 818-9150
Other practice location 1
1320 Edgewater St NW Ste 200
Salem, OR 97304-4072
Phone (541) 876-5727
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 284007 | Medicaid | AZ |
Other providers in Mesa, AZ
- Angelica Hospice and Palliative Care LLC
- Angels Beginning ,LLC
- Angels Care Behavioral Clinic, Inc.
- Angels on Wheels Nemt LLC
- Eric Nelson Anger III
- Alison Anglen
- Laurie Angood
- Deidra Williams Angulo
- Julio F. Angulo
- Karyn Angulo
All providers in Mesa, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.