Active NPI
Chitra Mathew
- Psychiatric/Mental Health Nurse Practitioner
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP7937
- Practice address
- 70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711 - Phone
- (480) 464-4431
- NPI assigned
- Jul 3, 2015
- Last updated
- Apr 4, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP7937 | AZ | Primary |
Addresses
Primary practice location
70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711
Mailing address
3519 E Marlene Dr
Gilbert, AZ 85296-1867
Phone (480) 393-3247
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1255 W Baseline Rd
Mesa, AZ 85202-5820
Phone (420) 820-5422
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7937 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Service | Current | Accepting new patients | |
| Southwest Behavioral Health Services Inc | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Southwest Behavioral Health Services, Inc. | Past | Accepting new patients | |
| Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Past | Accepting new patients | |
| Southwest Behavioral Health | Past | Accepting new patients |
Locations
1255 W Baseline Rd
Ste 138A
Mesa, AZ 85202
Phone (623) 776-3006
1255 W Baseline Rd
Mesa, AZ 85202
Phone (480) 820-5422
1255 W Baseline Rd
Ste 138
Mesa, AZ 85202
Phone (480) 281-2930
404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024
3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339
2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115
7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088
7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Buckeye, AZ
- NPI 1104030980
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
-
dba Azitts
- Family Health Clinical Nurse Specialist
- Mesa, AZ
- NPI 1629554126
-
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
- NPI 1023023603
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Prescott Valley, AZ
- NPI 1578844726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1356724728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 E MARLENE DR",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961867",
"telephone_number": "480-393-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 N MCCLINTOCK DR STE 4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263711",
"telephone_number": "480-464-4431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEW",
"first_name": "CHITRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-03",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP7937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.