I Want to Be Healthy LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP5602 Issued in AZ

Legal business name

I WANT TO BE HEALTHY LLC

Practice address

18247 N Toya St
Maricopa, AZ 85138-2905

Phone

(832) 964-4022

Fax

(347) 960-4805

NPI assigned

Nov 20, 2015

Last updated

Oct 8, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luchia Lynnette YoungNPI 1730286253

Title

Provider

Phone

(832) 964-4022

Specialties & licenses 4

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luchia Young, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maricopa, AZ
  • NPI 1730286253
  Authorized official Same address or phone

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1538533013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18247 N TOYA ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382905",
            "telephone_number": "832-964-4022",
            "fax_number": "347-960-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18247 N TOYA ST",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382905",
            "telephone_number": "832-964-4022",
            "fax_number": "347-960-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I WANT TO BE HEALTHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LUCHIA",
        "authorized_official_middle_name": "LYNNETTE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "832-964-4022"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3446",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5602",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z184231",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Maricopa, AZ
• Providers in Maricopa, 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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.