Estrella Mental Health Services, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ESTRELLA MENTAL HEALTH SERVICES, PLLC

Practice address

12725 W Indian School Rd Ste E101
Avondale, AZ 85392-9525

Phone

(623) 640-7682

Fax

(855) 932-1312

NPI assigned

Apr 7, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Daryl Ian Cotton, PMHNP-BCNPI 1972852846

Title

Owner/Ceo

Phone

(623) 640-7682

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Daryl Ian Cotton, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Avondale, AZ
  • NPI 1972852846
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1376122184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE E101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929525",
            "telephone_number": "623-640-7682",
            "fax_number": "855-932-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE E101",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929525",
            "telephone_number": "623-640-7682",
            "fax_number": "855-932-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTRELLA MENTAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "DARYL",
        "authorized_official_middle_name": "IAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "623-640-7682",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Espinoza
• Stephanie Espinoza
• Abby Estrada
• Debani Estrada
• Estrella Eyecare
• Estrella Mountain Eye Care PLLC
• Shanae Etheridge
• Mario Euceda-Cruz, BCBA, M.A.
• Erica Evans-Stathopoulos, LPC
• Evermore Healthcare Agency

• Psychiatric/Mental Health Nurse Practitioner in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.