Active NPI
Peace of Mind365
- Psychiatric/Mental Health Nurse Practitioner
- Queen Creek, AZ
National Provider Identifier
1255035556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- PEACE OF MIND365
- Practice address
- 18886 E Seagull Dr
Queen Creek, AZ 85142-5313 - Phone
- (480) 273-9731
- NPI assigned
- Mar 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sade Ayodele
- Title
- Owner
- Phone
- (480) 273-9731
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
18886 E Seagull Dr
Queen Creek, AZ 85142-5313
Mailing address
18886 E Seagull Dr
Queen Creek, AZ 85142-5313
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1255035556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18886 E SEAGULL DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851425313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18886 E SEAGULL DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851425313",
"telephone_number": "480-273-9731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEACE OF MIND365",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-29",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "AYODELE",
"authorized_official_first_name": "SADE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-273-9731"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.