Individual provider Active NPI

Breenecia Scott, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306324769
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
254091 Issued in AZ
Practice address
4222 N 12TH St
Phoenix, AZ 85014-6008
Phone
(480) 714-5100
NPI assigned
Jul 29, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 95149184 CA
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 254091 AZ Primary

Addresses

Primary practice location

4222 N 12TH St
Phoenix, AZ 85014-6008

Mailing address

4222 N 12TH St
Phoenix, AZ 85014-6008
Phone (480) 714-5100

Other practice location 1

16448 N 40th St
Phoenix, AZ 85032-3304
Phone (480) 548-2000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210609001378 AZ Practitioner - Nurse Practitioner 9436559614 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizon Health and Wellness, Inc.Group PAC ID 6406759711, 17 clinicians

Practice addresses (Care Compare)

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95149184CAMDAdult Psychiatric/Mental Health Registered Nurse
254091AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince May 16, 2023 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince May 16, 2023 Accepting new patients
Umbrella Medical LLC Single Specialty CurrentSince Feb 2, 2025 Accepting new patients
MD Homecare LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Prisma Community Care Single Specialty CurrentSince Jun 5, 2021 Accepting new patients
Horizon Health and Wellness, Inc. Single Specialty Current Accepting new patients
Serenity TMS Centers LLC Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Valley Empower Corp. PastSince Nov 7, 2025 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Empowergo Transport LLC Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health & Wellness, Inc. PastSince Jun 30, 2024 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. PastSince Feb 25, 2024 Accepting new patients

Locations

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

1445 W Chandler Blvd
Ste B10
Chandler, AZ 85224
Phone (480) 385-5055

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 626-2024

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

9225 N 3rd St
Ste 203
Phoenix, AZ 85020
Phone (602) 362-2983

1860 N 95th Ln
Fl 3
Phoenix, AZ 85037

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

1101 N Central Ave
Ste 200
Phoenix, AZ 85004
Phone (602) 307-5330

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21147/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1306324769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850146008",
            "telephone_number": "480-714-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850146008",
            "telephone_number": "480-714-5100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16448 N 40th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850323304",
            "country_code": "US",
            "telephone_number": "480-548-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BREENECIA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95149184",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "254091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.