Life Journey Psychiatric PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN089291 Issued in AZ

Legal business name

LIFE JOURNEY PSYCHIATRIC PLLC

Practice address

3655 E. Bluebird Place
Chandler, AZ 85249

Phone

(480) 221-5532

Fax

(480) 726-3795

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lana Jeanette Peterson, MSN, PSYNPNPI 1972553360

Title

Owner

Phone

(480) 221-5532

Specialties & licenses 1

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.

• Lana J. Peterson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1972553360
  NPD (past) Authorized official

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609930932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 E. BLUEBIRD PLACE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85249",
            "telephone_number": "480-221-5532",
            "fax_number": "480-726-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 E. BLUEBIRD PLACE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85249",
            "telephone_number": "480-221-5532",
            "fax_number": "480-726-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE JOURNEY PSYCHIATRIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "LANA",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-221-5532",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, PSYNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN089291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "787757",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Licari, MD
• Joseph Licata, DO
• James Gordon Lieber, MD
• Peggy Keller Lieder
• Nguyen-Van Lieu
• Life Solutions Integrated Health Services, LLC.
• Lifeline at Alphaomega
• Lifeline Professional Counseling Services, Inc
• Lifequest Chiropractic and Massage, LLC
• Lifequest Holding Company, LLC

• Psychiatric/Mental Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, 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 Aug 22, 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.