Maryam H Lateef, MHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP 1782 Issued in AZ

Practice address

8613 S 7TH Dr
Phoenix, AZ 85041-8311

Phone

(480) 835-2371

Fax

(623) 847-4047

NPI assigned

Jan 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Horizon Health and Wellness, Inc.

  • General Practice Physician
  • Apache Junction, AZ
  • NPI 1659308989
  Medicare reassignment NPD
• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713

  AZ

  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Lateef Behavioral Care Home

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1316218753
  NPD (past) Authorized official
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Globe, AZ
  • NPI 1689436412
  NPD
• Southeastern Arizona Behavioral Health Service, Inc

  • Community/Behavioral Health Agency
  • Douglas, AZ
  • NPI 1932620390
  NPD
• Southeastern Arizona Behavioral Health Services, Inc.

  dba Benson Outpatient Treatment Center

  • Community/Behavioral Health Agency
  • Benson, AZ
  • NPI 1760830137
  NPD
• Horizon Health and Wellness, Inc.

  • Professional Counselor
  • Globe, AZ
  • NPI 1205931987

  Psychiatric/Mental Health

  NPD (past)
• Horizon Health and Wellness, Inc.

  • Federally Qualified Health Center (FQHC)
  • Oracle, AZ
  • NPI 1710366737
  NPD (past)
• Sun Valley Services, Inc

  • Behavior Technician
  • Mesa, AZ
  • NPI 1467012237
  NPD (past)

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1477533610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 S 15TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416930",
            "telephone_number": "602-403-5050",
            "fax_number": "623-777-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 S 7TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850418311",
            "telephone_number": "480-835-2371",
            "fax_number": "623-847-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATEEF",
        "first_name": "MARYAM",
        "middle_name": "H",
        "credential": "MHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP 1782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702911",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Lataille, DO
• Lateef Behavioral Care
• Lateef Behavioral Care Home
• Lateef Behavioral Cares Home LLC (Lateef Behavioral Care Homes)
• Lateef Mental Wellness Inc
• Matthew James Latham, PT, DPT
• Preeti Lather
• Erika Wyneska Latimer del Valle
• Latino Care, LLC
• Latino Care, LLC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, 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 Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.