Individual provider Active NPI

Jennifer Linehan, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1467547414
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1171 Issued in AZ
Practice address
1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066
Phone
(480) 779-9050
Fax
(480) 717-4025
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP1171 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1171 AZ Primary

Addresses

Primary practice location

1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066

Mailing address

1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066
Phone (480) 779-9050

Other practice location 1

4414 N 19th Ave
Phoenix, AZ 85015-4114
Phone (602) 285-5550

Other identifiers 1

IdentifierTypeStateIssuer
526858MedicaidAZ

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
I20050316000478 AZ Practitioner - Nurse Practitioner 9436104098 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN093122AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open Hearts CurrentSince Oct 16, 2025 Accepting new patients
Family Service Agency CurrentSince Oct 5, 2022 Accepting new patients
Open Hearts CurrentSince Oct 16, 2025 Accepting new patients
Brain Solutions PLLC Psychiatric/Mental Health PastSince Jan 8, 2023 Accepting new patients
Family Service Agency Past Accepting new patients

Locations

1107 S Gilbert Rd
Ste 104
Mesa, AZ 85204
Phone (602) 264-9891

943 S Gilbert Rd
Ste 204
Mesa, AZ 85204
Phone (480) 507-8619

2400 N Central Ave
Ste 400
Phoenix, AZ 85004
Phone (602) 264-9891

2400 N Central Ave
Ste 101
Phoenix, AZ 85004
Phone (602) 264-9891

4414 N 19th Ave
Phoenix, AZ 85015
Phone (602) 285-5550

3280 S Country Club Way
Ste 110
Tempe, AZ 85282
Phone (602) 285-5550

Organizations & group practices 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1467547414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-779-9050",
            "fax_number": "480-717-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-779-9050",
            "fax_number": "480-717-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4414 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154114",
            "country_code": "US",
            "telephone_number": "602-285-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINEHAN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1171",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526858",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.