Active NPI
True Self Mental Wellness, LLC
- Psychiatry Physician
- Chandler, AZ
National Provider Identifier
1366329369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- TRUE SELF MENTAL WELLNESS, LLC
- Practice address
- 501 W Ray Rd Ste 6&7
Chandler, AZ 85225-7284 - Phone
- (480) 331-9140
- Fax
- (480) 383-6596
- NPI assigned
- Aug 20, 2025
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Martin, PA
- Title
- Managing Member
- Phone
- (414) 708-4615
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
501 W Ray Rd Ste 6&7
Chandler, AZ 85225-7284
Mailing address
501 W Ray Rd Ste 6&7
Chandler, AZ 85225-7284
Phone (480) 331-9140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
501 W Ray Rd
Ste 67
Chandler, AZ 85225
Phone (480) 331-9140
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physician Assistant
- Chandler, AZ
- NPI 1952652141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1366329369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 W RAY RD STE 6&7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257284",
"telephone_number": "480-331-9140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W RAY RD STE 6&7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257284",
"telephone_number": "480-331-9140",
"fax_number": "480-383-6596"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRUE SELF MENTAL WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-20",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "414-708-4615",
"authorized_official_credential": "PA"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"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 Mar 17, 2026; 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.