Active NPI
Gostine Dankwa, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10002296APRN
- Practice address
- 633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206 - Phone
- (832) 819-4378
- Fax
- (253) 954-3116
- NPI assigned
- Dec 8, 2016
- Last updated
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60808469 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP132780 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10002296APRN | OR | Primary |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 10002296RN | OR |
Addresses
Primary practice location
633 E Ray Rd Ste 130
Gilbert, AZ 85296-4206
Mailing address
14135 Sundial Stone LN
Cypress, TX 77429-1100
Phone (614) 804-0635
Other practice location 1
14135 Sundial Stone Ln
Cypress, TX 77429-1100
Phone (614) 804-0635
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500814953 | Medicaid | OR | |
| 13945105 | Other | CAQH ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Ctr St NE
Salem, OR 97301-2669
Phone (503) 945-2800
66 Club Rd
Suite 160
Eugene, OR 97401-2439
Phone (541) 345-1722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10002296RN | OR | MD | Psychiatric/Mental Health Registered Nurse |
| 10002296APRN | OR | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP132780 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
| AP60808469 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Psychiatry PLLC | Multi-Specialty | Current | Accepting new patients |
| Multicare Health System | Multi-Specialty | Current | Accepting new patients |
| Navos | Multi-Specialty | Current | Accepting new patients |
| Navos | Multi-Specialty | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Multi-Specialty | Current | Accepting new patients |
| DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P | Multi-Specialty | Current | Accepting new patients |
| Ultimate Professional Services | Multi-Specialty | Current | Accepting new patients |
| Amber Benson Pmhnp PC | Multi-Specialty | Current | Accepting new patients |
| Ultimate Professional Mental Health Services Corp | Multi-Specialty | Past | Accepting new patients |
Locations
633 E Ray Rd
Ste 130
Gilbert, AZ 85296
Phone (480) 562-0274
66 Club Rd
Ste 160
Eugene, OR 97401
Phone (541) 345-1722
216 Commercial St NE
Salem, OR 97301
Phone (614) 804-0635
2600 Center St NE
Salem, OR 97301
Phone (503) 945-2800
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990
Organizations & group practices 11
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.
-
dba Benson Health Clinic
- Psychiatric/Mental Health Nurse Practitioner
- Eugene, OR
- NPI 1912042862
Multi-Specialty
-
dba Oregon State Hospital (Salem)
- Psychiatric Hospital
- Salem, OR
- NPI 1508802489
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesa, AZ
- NPI 1083462378
Multi-Specialty
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
Multi-Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1194728105
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Salem, OR
- NPI 1861149296
Multi-Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Cypress, TX
- NPI 1790220291
-
dba Covington MultiCare Clinic
- Family Medicine Physician
- Covington, WA
- NPI 1093768657
Multi-Specialty
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
- NPI 1154061513
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1336683440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14135 SUNDIAL STONE LN",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774291100",
"telephone_number": "614-804-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 E RAY RD STE 130",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852964206",
"telephone_number": "832-819-4378",
"fax_number": "253-954-3116"
}
],
"practiceLocations": [
{
"address_1": "14135 Sundial Stone Ln",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774291100",
"country_code": "US",
"telephone_number": "614-804-0635",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANKWA",
"first_name": "GOSTINE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-08",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60808469",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP132780",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OR",
"license": "10002296APRN",
"primary": true
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "OR",
"license": "10002296RN",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500814953",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH ID",
"identifier": "13945105",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.