Edivan Mental Health Services

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EDIVAN MENTAL HEALTH SERVICES

Practice address

2841 S Joslyn
Mesa, AZ 85212-2176

Phone

(480) 526-6115

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By 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

Iheoma Augustina Soroibe, PMHNPNPI 1457299281

Title

Pmhnp

Phone

(480) 526-6115

Specialties & licenses 1

Addresses

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.

• Iheoma Augustina Soroibe

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1457299281
  Authorized official Same address or phone

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1588575815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 S JOSLYN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122176",
            "telephone_number": "480-526-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 S JOSLYN",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852122176",
            "telephone_number": "480-526-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIVAN MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "SOROIBE",
        "authorized_official_first_name": "IHEOMA",
        "authorized_official_middle_name": "AUGUSTINA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "480-526-6115",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vicki Louise Eden, LPN
• Latanya Olivia Edenburgs
• Pamela Lea Edens, RN MS FNP
• Kayla May Edgar
• Edgeline Audiology PLLC
• Edkey,Inc
• Anngela Park Edkins, PA-C
• Marisa Edmonston
• Aimee Edwards
• Amy Edwards

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, 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 Sep 15, 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.

Verify at the official NPI Registry.