NPIMap

Organization Active NPI

Phoenix Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1396227609
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11496 Issued in AZ
Legal business name
PHOENIX MENTAL HEALTH AND WELLNESS PLLC
Practice address
3839 N 3Rd St Ste 104
Phoenix, AZ 85012-2068
Phone
(928) 985-1495
NPI assigned
Sep 4, 2018
Last updated
Jun 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Authorized official

Name
Stacy Cloyd
Title
Secretary
Phone
(763) 330-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP11496 AZ Primary

Addresses

Primary practice location

3839 N 3Rd St Ste 104
Phoenix, AZ 85012-2068

Mailing address

2450 S White Mountain Rd Ste 3
Show Low, AZ 85901-7384
Phone (928) 985-1495

Other practice location 1

930 N Switzer Canyon Dr Ste 104
Flagstaff, AZ 86001-4834
Phone (928) 985-1495

National Provider Directory

National Provider Directory

Locations

3839 N 3rd St
Ste 104
Phoenix, AZ 85012
Phone (480) 903-5550

5551 S White Mountain Rd
Unit 2
Show Low, AZ 85901

1270 E Broadway Rd
Ste 103
Tempe, AZ 85282
Phone (480) 780-0505

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1396227609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S WHITE MOUNTAIN RD STE 3",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017384",
            "telephone_number": "928-985-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 N 3RD ST STE 104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122068",
            "telephone_number": "928-985-1495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 N Switzer Canyon Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014834",
            "country_code": "US",
            "telephone_number": "928-985-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "CLOYD",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "763-330-4953"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.