Matrix Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MATRIX MENTAL HEALTH LLC

Practice address

1846 E Innovation Park Dr Ste 100
Oro Valley, AZ 85755-1963

Phone

(602) 830-8400

Fax

(602) 834-2100

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Vincent Ekstrom, DNP, PMHNP-BC

Title

Psychiatric Nurse Practitioner

Phone

(602) 489-9606

Specialties & licenses 1

Addresses

Other names 1

• Matrix Mental Health Doing business as

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1427779461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "602-830-8400",
            "fax_number": "602-834-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1846 E INNOVATION PARK DR STE 100",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "602-830-8400",
            "fax_number": "602-834-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "EKSTROM",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "602-489-9606",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matrix Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matrix Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Martin
• Therese Martin
• Danielle Hope Martos
• Travis J Mason, PT, DPT
• Marcus Brenden Mathews, CRNA
• Sandra Leah Mattson, PH.D.
• Bernice Maxwell, EDS
• Behzad Aligholi Mayelzadeh, DDS
• Celeste Oros McBirnie, LPC
• Jerry McCoy, MD

• Psychiatric/Mental Health Nurse Practitioner in Oro Valley, AZ
• Providers in Oro Valley, 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 Mar 13, 2024; 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.