NPIMap

Organization Active NPI

Roya Health, LLC

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1396453916
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ROYA HEALTH, LLC
Practice address
825 W Southern Ave
Phoenix, AZ 85041-4717
Phone
(480) 300-4741
NPI assigned
Nov 14, 2022
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
John McNeal
Title
Manager
Phone
(678) 642-3532

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU
Internal Medicine Physician 207R00000X NU
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

825 W Southern Ave
Phoenix, AZ 85041-4717

Mailing address

777 SW 37TH Ave Ste 510
Miami, FL 33135-4128
Phone (678) 642-3532

Other practice location 1

1345 E Main St. Mesa
Mesa, AZ 85203
Phone (480) 300-4741

Other practice location 2

777 SW 37th Ave Ste 510
Miami, FL 33135-4128
Phone (678) 642-3532

Other practice location 3

1033 N Arizona Ave
Chandler, AZ 85225-6693
Phone (480) 300-4741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230927001061 AZ Part B Supplier - Clinic/Group Practice 3476907312 Receives reassigned benefits from 7 practitioners
Practice locations: Phoenix, AZ; Mesa, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Roya Health LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 855-8829

1345 E Main St
Mesa, AZ 85203
Phone (480) 223-0290

777 SW 37th Ave
Ste 510
Miami, FL 33135
Phone (678) 642-3532

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1396453916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 SW 37TH AVE STE 510",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354128",
            "telephone_number": "678-642-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W SOUTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414717",
            "telephone_number": "480-300-4741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 E Main St. Mesa",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "85203",
            "country_code": "US",
            "telephone_number": "480-300-4741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 SW 37th Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331354128",
            "country_code": "US",
            "telephone_number": "678-642-3532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1033 N Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256693",
            "country_code": "US",
            "telephone_number": "480-300-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROYA HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "MCNEAL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-642-3532"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 10, 2025; 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.