Randy V. Mallari, PMHNP-BC/C, FNP-BC/C

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

321587 Issued in AZ

Practice address

10901 E McDowell Rd
Scottsdale, AZ 85256-5300

Phone

(480) 278-7742

NPI assigned

Oct 12, 2012

Last updated

Jul 25, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

GMC Healthcare PLLCGroup PAC ID 2062850159, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bridges Home Health, Inc Home health agency, Chandler, AZ, CCN 037471

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEIHDD/Endpoint/AEIHDD
• FHIR API: https://fhir4.healow.com/fhir/r4/AEIHDD

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.

• GMC Healthcare PLLC

  dba GMC Healthcare

  • Clinic/Center
  • Scottsdale, AZ
  • NPI 1659153195

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Active Vital Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326825092

  Multi-Specialty

  Medicare reassignment NPD
• Randy V. Mallari PLC

  dba Altruism Healthcare

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
  • NPI 1811490667

  Registered Nurse

  NPD Authorized official
• Serendipity in the Sun LLC

  • Assisted Living Facility
  • Scottsdale, AZ
  • NPI 1902551914
  NPD Authorized official
• Salt River Pima-Maricopa Indian Community

  dba Salt River Integrated Health Care

  • Community Health Clinic/Center
  • Scottsdale, AZ
  • NPI 1942668991

  TX

  Medicare reassignment
• Absolute Care LLC

  dba Ark of Angel Behavioral Home

  • Psychiatric Residential Treatment Facility
  • Mesa, AZ
  • NPI 1689246795

  Psychiatry

  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bridges Home Health, Inc.

  • Home Health Agency
  • Chandler, AZ
  • NPI 1326583907
  Care Compare affiliation

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784937600000",
    "number": "1306198429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 124TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595201",
            "telephone_number": "480-295-9977",
            "fax_number": "602-391-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10901 E MCDOWELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852565300",
            "telephone_number": "480-278-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10250 N 124th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595201",
            "country_code": "US",
            "telephone_number": "480-400-0850",
            "fax_number": "602-860-6050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Queen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968144130",
            "country_code": "US",
            "telephone_number": "480-400-0850",
            "fax_number": "480-591-8885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "970343081",
            "country_code": "US",
            "telephone_number": "480-400-0850",
            "fax_number": "480-591-8885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLARI",
        "first_name": "RANDY",
        "middle_name": "V.",
        "credential": "PMHNP-BC/C, FNP-BC/C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-12",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95034292",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-5050",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "321587",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "873430",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "10041249",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "83016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096781",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "randy@gmccare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10250 N 124th St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852595201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maisha Maliha, M.D.
• Talha Aziz Malik, M.D.
• Julie Kay Malkowski, RN, IBCLC
• Divya Singh Malladi, MD
• Madonna C Mallari, MD
• Renee Mallari
• Robin E. Mallaro, CRNA
• Abigail Malle, PA-C
• Krishna Mallik, M.D.
• Mallin & Seidel Orthopaedic Oncology PLLC (Orthopaedic Surgical Oncology of Arizona)

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, 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 Jul 25, 2026; 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.