Individual provider Active NPI

Laura Mihaela Ross, FPMHNP

  • Psychiatry Physician
  • Goodyear, AZ
National Provider Identifier
1538417142
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
AP4624 Issued in AZ
Practice address
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone
(480) 516-8037
Fax
(480) 210-7543
NPI assigned
Aug 29, 2012
Last updated
Feb 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 66347 ID
Psychiatry Physician 2084P0800X AP4624 AZ Primary

Addresses

Primary practice location

14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519

Mailing address

14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone (480) 516-8037

Other practice location 1

7239 W Potomac Dr Ste 220
Boise, ID 83704-9168
Phone (480) 516-8037

Other practice location 2

12211 W Bell Rd Ste 205
Surprise, AZ 85378-9522
Phone (480) 516-8037

Other identifiers 1

IdentifierTypeStateIssuer
729400MedicaidAZ

Other names 1

  • Laura Ross Former name

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
I20130403000555 AZ Practitioner - Nurse Practitioner 9830334374 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14441 W McDowell Rd
Suite B102
Goodyear, AZ 85395-2519
Phone (480) 516-8037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66347IDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Apr 15, 2013 Accepting new patients
Lumina Mind and Wellness Inc Psychiatry Current Accepting new patients
Connectionsaz, LLC Current Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Genhealth Psychiatry CurrentSince Apr 27, 2019 Accepting new patients
Connectionsaz, LLC CurrentSince Feb 1, 2013 Accepting new patients
Southwest Behavioral Health Services Psychiatry CurrentSince Apr 15, 2013 Accepting new patients
Jewish Family & Children's Service CurrentSince Jan 20, 2016 Accepting new patients
Jewish Family & Children's Service CurrentSince Jan 20, 2016 Accepting new patients
Connectionsaz, LLC CurrentSince Feb 1, 2013 Accepting new patients
Southwest Behavioral Health Services PastSince Sep 1, 2023 Accepting new patients
Southwest Behavioral Health Services, Inc. PastSince May 7, 2023 Accepting new patients

Locations

5701 W Talavi Blvd
Ste 180
Glendale, AZ 85306
Phone (623) 486-8082

14441 W McDowell Rd
Ste B102
Goodyear, AZ 85395
Phone (480) 504-7878

1255 W Baseline Rd
Ste 104
Mesa, AZ 85202
Phone (480) 820-5422

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

903 N 2nd St
Phoenix, AZ 85004
Phone (602) 253-5100

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

12211 W Bell Rd
Ste 205
Surprise, AZ 85378
Phone (602) 492-1871

7239 W Potomac Dr
Ste 220
Boise, ID 83704
Phone (480) 516-8037

Interoperability endpoints

  • Direct secure messaging: genhealth@148814.advancedmd-direct.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: laura.rossnp.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1538417142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14441 W MCDOWELL RD STE B102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952519",
            "telephone_number": "480-516-8037",
            "fax_number": "480-400-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14441 W MCDOWELL RD STE B102",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952519",
            "telephone_number": "480-516-8037",
            "fax_number": "480-210-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7239 W Potomac Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837049168",
            "country_code": "US",
            "telephone_number": "480-516-8037",
            "fax_number": "480-210-7543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12211 W Bell Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789522",
            "country_code": "US",
            "telephone_number": "480-516-8037",
            "fax_number": "480-210-7543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LAURA",
        "middle_name": "MIHAELA",
        "credential": "FPMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "66347",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "AP4624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "729400",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "ROSS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.