Active NPI
Her Season Behavioral Wellness and Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
National Provider Identifier
1477249134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HER SEASON BEHAVIORAL WELLNESS AND PSYCHIATRY LLC
- Practice address
- 2210 S Mill Ave Ste 7a
Tempe, AZ 85282-2153 - Phone
- (928) 587-1147
- NPI assigned
- Apr 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Allysen Kelly, NP
- Title
- Owner
- Phone
- (928) 587-1147
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
2210 S Mill Ave Ste 7a
Tempe, AZ 85282-2153
Mailing address
2077 E Willis Rd
Gilbert, AZ 85297-2087
National Provider Directory
National Provider DirectoryLocations
2210 S Mill Ave
Ste 7A
Tempe, AZ 85282
Phone (928) 587-1147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1689101362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681430400000",
"number": "1477249134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2077 E WILLIS RD",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852972087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 S MILL AVE STE 7A",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852822153",
"telephone_number": "928-587-1147"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HER SEASON BEHAVIORAL WELLNESS AND PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "ALLYSEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "928-587-1147",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.