Individual provider Active NPI

Michelle Reijonen, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1306683065
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
266435 Issued in AZ
Practice address
3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone
(480) 674-9220
Fax
(480) 508-1524
NPI assigned
Jul 10, 2024
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 266435 AZ Primary

Addresses

Primary practice location

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500

Mailing address

3920 S Rural Rd Ste 112
Tempe, AZ 85282-5500
Phone (480) 674-9220

Other practice location 1

8700 E Via De Ventura Ste 280
Scottsdale, AZ 85258-4541
Phone (480) 674-9220

Other identifiers 1

IdentifierTypeStateIssuer
173704MedicaidAZ

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
I20240731004104 AZ Practitioner - Nurse Practitioner 9638616246 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266435AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC CurrentSince Aug 1, 2024 Accepting new patients
FKL Enterprises, LLC PastSince May 1, 2024 Accepting new patients
FKL Enterprises, LLC PastSince Sep 2, 2023 Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 507-7767

2046 W Riverview Auto Dr
Ste 401
Mesa, AZ 85201

1860 N 95th Ln
Ste 300
Phoenix, AZ 85037

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

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

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

36457 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 494-6622

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

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1306683065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-674-9220",
            "fax_number": "480-508-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 S RURAL RD STE 112",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825500",
            "telephone_number": "480-674-9220",
            "fax_number": "480-508-1524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 E Via De Ventura Ste 280",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852584541",
            "country_code": "US",
            "telephone_number": "480-674-9220",
            "fax_number": "480-508-1524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REIJONEN",
        "first_name": "MICHELLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "266435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173704",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.