Cana Psychiatric Health

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CANA PSYCHIATRIC HEALTH

Practice address

16165 N 83Rd Ave Ste 200
Peoria, AZ 85382-5816

Phone

(919) 415-1212

Fax

(919) 415-1216

NPI assigned

Nov 4, 2020

Last updated

Jan 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lolade Ogunleye, NPNPI 1265044218

Title

Manager

Phone

(919) 415-1212

Specialties & licenses 2

Addresses

Other names 1

• CANA PSYCHIATRIC HEALTH Former legal business name

Medicare fee-for-service enrollment

Enrolled in AZ, NC2 enrollments

Enrollment records 2

Practitioners 2

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.

• Lolade Ogunleye, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
  • NPI 1265044218

  NC

  Medicare reassignment Authorized official
• Jamal-Eddin Daher, PA-C

  • Physician Assistant
  • Milwaukee, WI
  • NPI 1134870827

  NC

  Medicare reassignment

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1447851696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "919-307-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16165 N 83RD AVE STE 200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825816",
            "telephone_number": "919-415-1212",
            "fax_number": "919-415-1216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1846 E innovation park Dr #100",
            "address_purpose": "LOCATION",
            "city": "oro Valley",
            "state": "NC",
            "postal_code": "275022750",
            "country_code": "US",
            "telephone_number": "919-519-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11335 NE 122nd Way Ste 105",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980346933",
            "country_code": "US",
            "telephone_number": "919-415-1212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CANA PSYCHIATRIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "LOLADE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "919-415-1212",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CANA PSYCHIATRIC HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CANA PSYCHIATRIC HEALTH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelsey Campbell
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• Brittany Campos, MSN, FNP-C
• Anthony Canelo
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• Psychiatric/Mental Health Nurse Practitioner in Peoria, AZ
• Providers in Peoria, 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 Jan 26, 2021; 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.