Active NPI
Changing Minds Psychiatry Az LLC
- Psychiatric/Mental Health Nurse Practitioner
- Tempe, AZ
National Provider Identifier
1518813666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CHANGING MINDS PSYCHIATRY AZ LLC
- Practice address
- 1204 E Baseline Rd Ste 101
Tempe, AZ 85283-1447 - Phone
- (702) 405-8088
- NPI assigned
- Mar 9, 2026
- Last updated
- May 6, 2026
- 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
- Jamie Brown
- Title
- Business Manager
- Phone
- (702) 405-8088
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1204 E Baseline Rd Ste 101
Tempe, AZ 85283-1447
Mailing address
PO Box 752003
Las Vegas, NV 89136-2003
Phone (702) 405-8088
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1518813666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 752003",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891362003",
"telephone_number": "702-405-8088",
"fax_number": "702-405-6066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 E BASELINE RD STE 101",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831447",
"telephone_number": "702-405-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHANGING MINDS PSYCHIATRY AZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-09",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "JAMIE",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "702-405-8088"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-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 May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.