Individual provider Active NPI

James Ohara

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1427675222
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
261420 Issued in AZ
Practice address
11221 N 28TH Dr BLDG N28Th
Phoenix, AZ 85029-5615
Phone
(602) 997-2233
NPI assigned
Jun 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 261420 AZ Primary

Addresses

Primary practice location

11221 N 28TH Dr BLDG N28Th
Phoenix, AZ 85029-5615

Mailing address

11221 N 28TH Dr BLDG E
Phoenix, AZ 85029-5615
Phone (602) 997-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210824002059 AZ Practitioner - Nurse Practitioner 9739584160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Practice addresses (Care Compare)

11221 N 28TH Dr
BLDG E
Phoenix, AZ 85029-5615
Phone (602) 997-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
261420AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Mar 1, 2024 Accepting new patients
Serenity TMS Centers LLC CurrentSince Sep 1, 2021 Accepting new patients
Southwest Behavioral Health Services Inc CurrentSince Mar 1, 2024 Accepting new patients
Southwest Behavioral Health PastSince Mar 31, 2024 Accepting new patients

Locations

1501 N Gilbert Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 626-2024

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061

4545 E Chandler Blvd
Ste 308
Phoenix, AZ 85048
Phone (480) 626-2024

11221 N 28th Dr
Bldg E
Phoenix, AZ 85029
Phone (602) 892-5155

2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

36457 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 494-6622

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1427675222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11221 N 28TH DR BLDG E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295615",
            "telephone_number": "602-997-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 N 28TH DR BLDG N28TH",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295615",
            "telephone_number": "602-997-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "261420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.