Individual provider Active NPI

Carley McCarthy, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1437827284
Registry record updated Sep 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
263511 Issued in AZ
Practice address
3707 E Southern Ave
Mesa, AZ 85206-2569
Phone
(480) 509-7738
NPI assigned
Sep 4, 2021
Last updated
Sep 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2021

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 263511 AZ Primary

Addresses

Primary practice location

3707 E Southern Ave
Mesa, AZ 85206-2569

Mailing address

3707 E Southern Ave
Mesa, AZ 85206-2569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230313002855 VT Practitioner - Nurse Practitioner 3678947736 Reassigns benefits to 1 organization
I20241031003241 AZ Practitioner - Nurse Practitioner 3678947736 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mind 247 Practice LLCGroup PAC ID 6406253541, 33 clinicians

Practice addresses (Care Compare)

10046 N Metro Pkwy W
Phoenix, AZ 85051-1437
Phone (844) 646-3247

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263511AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Hospital Inc CurrentSince Dec 23, 2022 Accepting new patients
Mind 247 Practice LLC CurrentSince Jul 26, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Jul 26, 2024 Accepting new patients
Springfield Hospital Inc Current Accepting new patients
Mind 247 Practice LLC Current Accepting new patients
Connectionsaz, LLC CurrentSince Jan 12, 2026 Accepting new patients
Springfield Hospital .Inc CurrentSince Dec 23, 2022 Accepting new patients
Connectionsaz, LLC Past Accepting new patients

Locations

1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876

1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125

10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880

10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020

9675 W Camelback Rd
Phoenix, AZ 85037
Phone (623) 849-8000

1375 N Scottsdale Rd
Ste 145
Scottsdale, AZ 85257

1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Phone (602) 834-0404

25 Ridgewood Rd
Springfield, VT 05156
Phone (780) 281-9593

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1630713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1437827284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062569",
            "telephone_number": "480-509-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "CARLEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-04",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "263511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.