Individual provider Active NPI

Mindy Raylunn Newman, PMHNP

  • Psychiatry Physician
  • Show Low, AZ
National Provider Identifier
1386368207
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RNP281675 Issued in AZ
Practice address
1500 S White Mountain Rd BLDG 3
Show Low, AZ 85901-7111
Phone
(928) 532-5838
Fax
(928) 892-5828
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RNP281675 AZ Primary

Addresses

Primary practice location

1500 S White Mountain Rd BLDG 3
Show Low, AZ 85901-7111

Mailing address

PO Box 1242
Springerville, AZ 85938-1242
Phone (520) 370-9021

Other practice location 1

1651 E Hwy 60
Springerville, AZ 85938
Phone (520) 370-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
RNP281675AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Changepoint Integrated Health CurrentSince Dec 18, 2022 Accepting new patients
Changepoint Integrated Past Accepting new patients
Changepoint Integrated Health Past Accepting new patients
Changepoint Integrated Health PastSince Dec 18, 2022 Accepting new patients

Locations

1500 S White Mountain Rd
Show Low, AZ 85901
Phone (520) 537-3937

1500 S White Mountain Rd
Bldg 3
Show Low, AZ 85901
Phone (284) 325-8389

1801 W Deuce of Clubs
Ste 100
Show Low, AZ 85901
Phone (928) 368-4110

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1386368207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1242",
            "city": "SPRINGERVILLE",
            "state": "AZ",
            "postal_code": "859381242",
            "telephone_number": "520-370-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WHITE MOUNTAIN RD BLDG 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017111",
            "telephone_number": "928-532-5838",
            "fax_number": "928-892-5828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 E Hwy 60",
            "address_purpose": "LOCATION",
            "city": "Springerville",
            "state": "AZ",
            "postal_code": "85938",
            "country_code": "US",
            "telephone_number": "520-370-9021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MINDY",
        "middle_name": "RAYLUNN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "RNP281675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.