Individual provider Active NPI

Latriece Maddox, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1326773342
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
225170 Issued in AZ
Practice address
41768 W Barcelona Dr
Maricopa, AZ 85138-4445
Phone
(562) 506-3974
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 225170 AZ Primary

Addresses

Primary practice location

41768 W Barcelona Dr
Maricopa, AZ 85138-4445

Mailing address

41768 W Barcelona Dr
Maricopa, AZ 85138-4445
Phone (562) 506-3974

Other identifiers 1

IdentifierTypeStateIssuer
163188MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mentalbehavioralhealth@pychnp.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thoughts in Mind, PLLC Multi-Specialty Current Accepting new patients
Summer Breeze Health LLC PastSince Oct 1, 2024 Accepting new patients

Locations

825 NE 20th Ave
Ste 320
Portland, OR 97232
Phone (602) 244-1358

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1326773342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41768 W BARCELONA DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384445",
            "telephone_number": "562-506-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41768 W BARCELONA DR",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384445",
            "telephone_number": "562-506-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "LATRIECE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "225170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163188",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mentalbehavioralhealth@pychnp.net",
            "affiliation": "N",
            "address_1": "41768 W Barcelona Dr",
            "city": "Maricopa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851384445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.