Active NPI
Premium Mental Health Services PLLC
- Community/Behavioral Health Agency
- Maricopa, AZ
National Provider Identifier
1558061507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PREMIUM MENTAL HEALTH SERVICES PLLC
- Practice address
- 36322 W Alhambra St
Maricopa, AZ 85138-5308 - Phone
- (480) 434-3251
- NPI assigned
- Mar 8, 2023
- 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
- James Maigua, PMHNP-BC DNP
- Title
- Owner
- Phone
- (480) 434-3251
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
36322 W Alhambra St
Maricopa, AZ 85138-5308
Mailing address
625 W Southern Ave Ste E
Mesa, AZ 85210-5018
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1912614611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678233600000",
"number": "1558061507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 W SOUTHERN AVE STE E",
"city": "MESA",
"state": "AZ",
"postal_code": "852105018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36322 W ALHAMBRA ST",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851385308",
"telephone_number": "480-434-3251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIUM MENTAL HEALTH SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-08",
"last_updated": "2023-03-08",
"certification_date": "2023-03-08",
"status": "A",
"authorized_official_last_name": "MAIGUA",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-434-3251",
"authorized_official_credential": "PMHNP-BC DNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.