Jared Brink, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

260271 Issued in AZ

Practice address

16620 N 40TH St Ste E1
Phoenix, AZ 85032-3357

Phone

(602) 464-9576

NPI assigned

Jul 1, 2021

Last updated

Jul 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 2ndchancetreatmentcenters.jaredbrink@154160.advancedmd-direct.com

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.

• Sunscape Investment LLC

  dba Mind Matters Family Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1154003184
  Medicare reassignment NPD Authorized official
• Fulton & Fulton LLC

  dba Mesquite Valley Integrated Health

  • Community Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1790384014
  Medicare reassignment NPD
• Happy Ears Hearing Center

  • Audiologist-Hearing Aid Fitter
  • Peoria, AZ
  • NPI 1033516083
  NPD (past)

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1306417258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323357",
            "telephone_number": "602-464-9576",
            "fax_number": "602-646-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323357",
            "telephone_number": "602-464-9576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2550 W Union Hills Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850275187",
            "country_code": "US",
            "telephone_number": "623-295-9026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13331 W Indian School Rd Ste B203",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853404340",
            "country_code": "US",
            "telephone_number": "623-269-3990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "JARED",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "260271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Brimley
• Sydney Elizabeth Briner, DC
• Stephanie Briney, DO
• Andrea Bringas, RBT
• Tysen Charles Bringhurst, OD
• Jeffrey Alan Brink, M.D.
• Jeromy Brink, MD
• Stacy Hall Brink, OTR/L
• Shara Brinkley, CCC/SLP
• Abigail Brinkman, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, 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 18, 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.