Organization Active NPI

Healthy Minds Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1538875216
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HEALTHY MINDS PSYCHIATRY PLLC
Practice address
6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863
Phone
(520) 631-1546
NPI assigned
Jan 26, 2023
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Ms. Marisol Ramirez, PNHNP-BE
Title
Owner
Phone
(520) 631-1546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

6375 E Tanque Verde Rd Ste 140
Tucson, AZ 85715-3863

Mailing address

2114 W Grant Rd
Tucson, AZ 85745-1141
Phone (520) 631-1546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230307003065 AZ Part B Supplier - Clinic/Group Practice 0446623722 Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1538875216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 W GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451141",
            "telephone_number": "520-631-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 E TANQUE VERDE RD STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153863",
            "telephone_number": "520-631-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-631-1546",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PNHNP-BE"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.