Stephanie Funmilayo Hancock, DNP, ARNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

224091 Issued in AZ

Practice address

18747 N Reems Rd Ste 500
Surprise, AZ 85374-8645

Phone

(877) 396-5133

Fax

(520) 526-9962

NPI assigned

Feb 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Stephanie Funmilayo Ogunleye Other name

Electronic endpoints 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Pool of Bethesda Psychiatric Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1881240760
  Medicare reassignment NPD Authorized official
• Faspsych, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
  • NPI 1831682111

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1549152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1639634777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18747 N REEMS RD STE 500",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748645",
            "telephone_number": "877-396-5133",
            "fax_number": "520-526-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18747 N REEMS RD STE 500",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748645",
            "telephone_number": "877-396-5133",
            "fax_number": "520-526-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Pinehurst Dr",
            "address_purpose": "LOCATION",
            "city": "Spring Hill",
            "state": "TN",
            "postal_code": "371742914",
            "country_code": "US",
            "telephone_number": "609-933-1936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 California St Ste 2710",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941115818",
            "country_code": "US",
            "telephone_number": "800-377-8163",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8687 E Via De Ventura Ste 310",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852583351",
            "country_code": "US",
            "telephone_number": "480-970-9097",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3434 N Crystal Hill Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857457100",
            "country_code": "US",
            "telephone_number": "609-933-1936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4441 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-600-4099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 N Alvernon Way Ste 161",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857111895",
            "country_code": "US",
            "telephone_number": "520-327-4505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W Continental Rd Ste 244A",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856223596",
            "country_code": "US",
            "telephone_number": "520-333-4949",
            "fax_number": "520-526-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "STEPHANIE",
        "middle_name": "FUNMILAYO",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-03",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "25409",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95011442",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "224091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pobpsychiatry.com",
            "affiliation": "N",
            "address_1": "210 W Continental Rd Ste 216B",
            "city": "Green Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856223596",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@pobpsychiatry.com",
            "affiliation": "N",
            "address_1": "210 W Continental Rd Ste 216B",
            "city": "Green Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856223596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "OGUNLEYE",
            "middle_name": "FUNMILAYO",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Madison Kay Ham
• Christopher Eric Hamilton, M.D.
• Maria Hamilton, PSY.D.
• Bradley Tayler Hammond, DDS, MD
• Brooke Hampton, FNP-BC
• Lilias Mary Handwerk, OT
• Valerie Hanna-Patenaude, LAC
• Martine Marie Hannallah, M.D.
• Michael Austin Hans, PH.D.
• Jamie Hansen, COTA

• Psychiatric/Mental Health Nurse Practitioner in Surprise, AZ
• Providers in Surprise, 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 May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.