Michael Janson Bass, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

291618 Issued in AZ

Practice address

1840 N 95TH Ave Ste 132
Phoenix, AZ 85037-4445

Phone

(623) 932-6950

NPI assigned

May 11, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southwest NetworkGroup PAC ID 2567560659, 26 clinicians

Desert Bolt Behavioral LLCGroup PAC ID 0446662241, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Desert Bolt Behavioral LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Anthem, AZ
  • NPI 1649897414

  AZ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Southwest Network

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1104856004

  AZ

  Medicare reassignment Care Compare group NPD
• Ryan M Sheade LCSW LLC

  • Clinical Social Worker
  • Scottsdale, AZ
  • NPI 1063831592

  AZ

  Medicare reassignment NPD
• Southwest Network

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1235393240
  NPD
• Southwest Network, Inc.

  • Community/Behavioral Health Agency
  • Chandler, AZ
  • NPI 1487981338
  NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1235829201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N CENTRAL AVE STE 1050",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041217",
            "telephone_number": "602-376-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 N 95TH AVE STE 132",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374445",
            "telephone_number": "623-932-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42201 N 41st Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850863803",
            "country_code": "US",
            "telephone_number": "623-206-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "MICHAEL",
        "middle_name": "JANSON",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-11",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN181884",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "291618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rishi Basnyat, MD
• Roberta A Basques, LPN
• Carly Bass, RN
• Curtis Alan Bass, FNP
• John Wesley Bass, MD
• Renea Bass
• Skye Bass, LCSW
• Stephen A Bass, M.D.
• Stuart Kenneth Bass, MD
• Beatriz S Bassaco, MD, MPH

• All providers in Phoenix, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.