Carolyn Wendy Tellez, PMH-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP11453 Issued in AZ

Practice address

9802 W Bell Rd Unit 1217
Sun City, AZ 85372-7010

Phone

(520) 244-4680

Fax

(623) 666-5795

NPI assigned

Apr 23, 2018

Last updated

May 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, NV, OH, CO4 enrollments

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 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Behavior Innovation

  • Psychiatric/Mental Health Nurse Practitioner
  • Sun City, AZ
  • NPI 1821716127

  Single Specialty

  Medicare reassignment NPD Authorized official
• Boulder Care Provider Group PA

  dba Boulder Care

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  CO, OH

  Medicare reassignment Care Compare group
• Behavioral Health Solutions LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1548765258

  Single Specialty

  Medicare reassignment NPD
• Next Level Psychiatry Arizona PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1932703626
  NPD
• Laura K Schroeder MD PC

  • Infectious Disease Physician
  • Phoenix, AZ
  • NPI 1619110459

  Single Specialty

  NPD (past)
• New Dawn MH Reno PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reno, NV
  • NPI 1689286361

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1285122408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9802 W BELL RD UNIT 1217",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853727010",
            "telephone_number": "520-244-4680",
            "fax_number": "623-666-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9802 W BELL RD UNIT 1217",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853727010",
            "telephone_number": "520-244-4680",
            "fax_number": "623-666-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "CAROLYN",
        "middle_name": "WENDY",
        "credential": "PMH-NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11453",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN179578",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421574",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreja Tahiliani, CRNA
• Nanao Takaki, N.M.D.
• Usha Tatini, M.D.
• Taghi Tavassoli, MD
• Team O'Neill Inc
• Shelly A Tellman, FNP-C
• Kevin Robert Tench, M.D.
• Pavan Kumar Tenneti Venkata, MD
• Jamie Marie Terran, DPT
• Elizabeth Terry, LPC

• Psychiatric/Mental Health Nurse Practitioner in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; 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.