Individual provider Active NPI

Nicholas Yondola

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1326970039
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
339807 Issued in AZ
Practice address
2926 E Osborn Rd Apt 415
Phoenix, AZ 85016-7077
Phone
(724) 205-5578
NPI assigned
May 29, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 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 339807 AZ Primary

Addresses

Primary practice location

2926 E Osborn Rd Apt 415
Phoenix, AZ 85016-7077

Mailing address

1435 Rolling Acres Rd
Latrobe, PA 15650-4714
Phone (724) 205-5578

Other practice location 1

1435 Rolling Acres Rd
Latrobe, PA 15650-4714
Phone (724) 205-5578

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

State licenses

LicenseStateTypeSpecialty
339807AZMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1780012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1326970039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 ROLLING ACRES RD",
            "city": "LATROBE",
            "state": "PA",
            "postal_code": "156504714",
            "telephone_number": "724-205-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2926 E OSBORN RD APT 415",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167077",
            "telephone_number": "724-205-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 Rolling Acres Rd",
            "address_purpose": "LOCATION",
            "city": "Latrobe",
            "state": "PA",
            "postal_code": "156504714",
            "country_code": "US",
            "telephone_number": "724-205-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YONDOLA",
        "first_name": "NICHOLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-29",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "339807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.