Ahp Psych NP PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

AHP PSYCH NP PC

Practice address

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676

Phone

(602) 341-3303

NPI assigned

Nov 13, 2024

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly Black, PMHNPNPI 1912653536

Title

Owner/Pmhnp

Phone

(951) 623-7194

Specialties & licenses 1

Addresses

Electronic endpoints 5

Locations

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.

• Kelly Black, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1912653536
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1649094012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "602-341-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046676",
            "telephone_number": "602-341-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHP PSYCH NP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-03-04",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PMHNP",
        "authorized_official_telephone_number": "951-623-7194",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AHP@apsychnp.com",
            "affiliation": "N",
            "endpointDescription": "Google email and google voice workspace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 S Stapley Dr",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AHP@apsychnp.com",
            "affiliation": "N",
            "endpointDescription": "Google email and google voice workspace, Spruce",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 S Stapley Dr Ste 120",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AHP@apsychnp.com",
            "affiliation": "N",
            "endpointDescription": "Google email and google voice workspace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 S Stapley Dr Ste 120",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AHP@apsychnp.com",
            "affiliation": "N",
            "endpointDescription": "Google email and google voice workspace",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 S Stapley Dr Ste 120",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AHP@apsychnp.com",
            "affiliation": "N",
            "endpointDescription": "Google email and google voice workspace",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1910 S Stapley Dr Ste 120",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852046676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Haneen Ahmed, APRN, FNP-C
• Shah Rukh Ahmed, DO
• Zohair Ahmed
• Benjamin Ahn, L. AC.
• Manfred H Ahnen, DC
• Ahpc Phoenix, LLC (At Home Personal Care)
• Laurie Ahrendt, FNP
• Mistie Loree Ahrens, D.C.
• Ahsan M Basha MD PC
• Hailee Aiken, RBT

• Psychiatric/Mental Health Nurse Practitioner in Mesa, AZ
• Providers in Mesa, 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 Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.