Notre Dame Behavioral Health, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

45901 Issued in AZ

Legal business name

NOTRE DAME BEHAVIORAL HEALTH, PLLC

Practice address

14811 W Bell Rd Ste 100
Surprise, AZ 85374-7602

Phone

(623) 328-7323

Fax

(623) 337-4917

NPI assigned

Dec 21, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Hany S. Ashamalla, MDNPI 1255645891

Title

Psychiatrist

Phone

(623) 328-7323

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hany S. Ashamalla, MD, MSC.

  • Psychiatry Physician
  • Surprise, AZ
  • NPI 1255645891
  Medicare reassignment NPD Authorized official
• Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1205365772
  Medicare reassignment NPD
• Kelly L England, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1164667739
  Medicare reassignment NPD
• Shawn Patrick Gallagher, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Buckeye, AZ
  • NPI 1710903281

  Psychiatry

  NPD
• Trisha Diane Overvaag

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1215546155
  NPD
• Tiana Leilani Gomes, PA-C

  • Physician Assistant
  • Mesa, AZ
  • NPI 1114540390
  NPD (past)

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

{
    "created_epoch": "1419120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1356749543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14811 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747602",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14811 W BELL RD STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747602",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18789 N Reems Rd",
            "address_2": "Suite 260-L",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748648",
            "country_code": "US",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18789 N Reems Rd",
            "address_2": "Suite 260-L",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748648",
            "country_code": "US",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 W Happy Valley Pkwy Ste 145",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853832881",
            "country_code": "US",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14811 W Bell Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "85374",
            "country_code": "US",
            "telephone_number": "623-328-7323",
            "fax_number": "623-337-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NOTRE DAME BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-21",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "ASHAMALLA",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "623-328-7323",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "45901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "address_1": "14811 W Bell Rd Ste 100",
            "city": "Surprise",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853747602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatry Physician in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.