Margarita Madrid, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Glendale, AZ
NPI 1619476207 · NPPES record last updated Apr 21, 2024
Key facts
- NPI
- 1619476207
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP10942 (AZ)
- Practice address
- 17505 N 79TH Ave
Ste 213a
Glendale, AZ 85308-8728 - Phone
- (602) 584-5859
- Fax
- (602) 584-5859
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Recovery Innovations Inc
Mind 247 Practice LLC
Practice addresses (Care Compare)
11361 N 99TH Ave
Suite 400And402
Peoria, AZ 85345-5470
Phone (602) 636-4605
1138 S Higley Rd
Mesa, AZ 85206-3000
Phone (844) 646-3247
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181108000733 | AZ | Practitioner - Nurse Practitioner | 6901150028 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10942 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current |
Accepting new patients | |
| Recovery Innovations, Inc | Current |
Accepting new patients | |
| Recovery Innovations, Inc | Current | Accepting new patients | |
| Recovery Innovations, Inc | Current |
Accepting new patients | |
| Tailored 2 U Psychiatry, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Mind 247 Practice LLC | Current |
Accepting new patients | |
| Recovery Innovations, Inc | Past | Accepting new patients | |
| Gathered Connections Counseling Professional Limited Liability Com | Past |
Accepting new patients | |
| Recovery Innovations, Inc | Past | Accepting new patients |
Locations
17505 N 79th Ave
Ste 304C
Glendale, AZ 85308
Phone (602) 584-5859
17505 N 79th Ave
Ste 213A
Glendale, AZ 85308
Phone (602) 584-5859
17505 N 79th Ave
Ste 311E
Glendale, AZ 85308
Phone (602) 390-1135
1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876
11361 N 99th Ave
Ste 107
Peoria, AZ 85345
Phone (602) 636-4605
11361 N 99th Ave
Ste 402
Peoria, AZ 85345
Phone (602) 636-4379
2701 N 16th St
Ste 316
Phoenix, AZ 85006
4150 W Peoria Ave
Ste 116
Phoenix, AZ 85029
Phone (602) 584-5859
10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 894-2880
10046 N Metro Pkwy W
Ste 115
Phoenix, AZ 85051
Phone (602) 674-5515
1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10942 | AZ | Yes |
Addresses
Primary practice location
17505 N 79TH Ave
Ste 213a
Glendale, AZ 85308-8728
Mailing address
17505 N 79TH Ave
Ste 213a
Glendale, AZ 85308-8728
Phone (602) 584-5859
Other providers in Glendale, AZ
- Nicole Reis Madera
- Ashley Madern
- Lisa Ann Madeya
- Connie Madrid
- Deborah Kay Madrid
- Dora Madrigal
- Madison Madris
- Nagaraj C Madugonde
- Yvette Maez
- Danielle Maffetone
All providers in Glendale, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.