Individual provider Active NPI

Yvonne Noemi Mata, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1649043498
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
299261 Issued in AZ
Practice address
13331 W Indian School Rd Ste B203
Litchfield Park, AZ 85340-4340
Phone
(623) 269-3990
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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 299261 AZ Primary

Addresses

Primary practice location

13331 W Indian School Rd Ste B203
Litchfield Park, AZ 85340-4340

Mailing address

16620 N 40TH St Ste E1
Phoenix, AZ 85032-3357
Phone (602) 464-9576

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
I20240308002928 AZ Practitioner - Nurse Practitioner 9032555354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Satinder S Purewal MD LLCGroup PAC ID 6507814191, 37 clinicians

Practice addresses (Care Compare)

5720 W Peoria Ave
Suite 101
Glendale, AZ 85302-1420
Phone (623) 878-2100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Group, Inc. Psychiatric/Mental Health Current Accepting new patients
Satinder S. Purewal, M.D. LLC CurrentSince Apr 4, 2025 Accepting new patients
Spectrum Healthcare Group, Inc. Nurse Practitioner Current Accepting new patients
Spectrum Healthcare Group, Inc. Nurse Practitioner CurrentSince Jan 27, 2024 Accepting new patients
Spectrum Healthcare Group, Inc Nurse Practitioner CurrentSince Jan 27, 2024 Accepting new patients

Locations

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

5720 W Peoria Ave
Ste 101
Glendale, AZ 85302
Phone (623) 878-2100

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

6677 W Thunderbird Rd
Ste I164
Glendale, AZ 85306
Phone (623) 878-2100

990 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 778-7823

1200 N Country Club Rd
Tucson, AZ 85716
Phone (520) 770-1197

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1649043498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323357",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 W INDIAN SCHOOL RD STE B203",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404340",
            "telephone_number": "623-269-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATA",
        "first_name": "YVONNE",
        "middle_name": "NOEMI",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "299261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.