Active NPI
Imani Mental Health Services LLC
- Primary Care Nurse Practitioner
- Queen Creek, AZ
National Provider Identifier
1639703879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- IMANI MENTAL HEALTH SERVICES LLC
- Practice address
- 18672 E Old Beau TRL
Queen Creek, AZ 85142-3521 - Phone
- (515) 419-5096
- NPI assigned
- Feb 26, 2020
- Last updated
- Jan 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joanne C Rop
- Title
- Owner
- Phone
- (515) 419-5096
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
18672 E Old Beau TRL
Queen Creek, AZ 85142-3521
Mailing address
18672 E Old Beau TRL
Queen Creek, AZ 85142-3521
Phone (515) 419-5096
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1487291712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642377600000",
"number": "1639703879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18672 E OLD BEAU TRL",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423521",
"telephone_number": "515-419-5096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18672 E OLD BEAU TRL",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851423521",
"telephone_number": "515-419-5096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMANI MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-26",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A",
"authorized_official_last_name": "ROP",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "515-419-5096"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.