Individual provider Active NPI

Susannah Hiralez, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1619844834
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
329796 Issued in AZ
Practice address
824 N 99TH Ave
Avondale, AZ 85323-5324
Phone
(602) 910-7353
NPI assigned
Oct 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 329796 AZ Primary

Addresses

Primary practice location

824 N 99TH Ave
Avondale, AZ 85323-5324

Mailing address

824 N 99TH Ave
Avondale, AZ 85323-5324
Phone (602) 910-7353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260116002369 AZ Practitioner - Nurse Practitioner 0345727665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

824 N 99TH Ave
Suite 107And108
Avondale, AZ 85323-5324
Phone (623) 907-1457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
329796AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Bridges, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Community Bridges, Inc Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

358 E Javelina Ave
Ste 101
Mesa, AZ 85210
Phone (480) 507-3180

2770 E Van Buren St
Ste Abd
Phoenix, AZ 85008

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1619844834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "602-910-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N 99TH AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853235324",
            "telephone_number": "602-910-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRALEZ",
        "first_name": "SUSANNAH",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "329796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.