Individual provider Active NPI

Chitra Mathew

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1356724728
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7937 Issued in AZ
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000843 AZ Practitioner - Nurse Practitioner 2163792276 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
AP7937AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Service CurrentSince Jun 1, 2024 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Southwest Behavioral Health Services, Inc. Past Accepting new patients
Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC PastSince Feb 1, 2023 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.

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

Verify at the official NPI Registry.