Active NPI
Teresa Evette Robinson, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Queen Creek, AZ
National Provider Identifier
1649140922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 253037
- Practice address
- 24871 S Ellsworth Rd Ste 100-162
Queen Creek, AZ 85142-1574 - Phone
- (480) 269-4106
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal Newborn Registered Nurse | 163WM0102X | 253037 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 253037 | AZ | Primary |
Addresses
Primary practice location
24871 S Ellsworth Rd Ste 100-162
Queen Creek, AZ 85142-1574
Mailing address
24871 S Ellsworth Rd Ste 100-162
Queen Creek, AZ 85142-1574
Phone (480) 269-4106
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1166 E Warner Rd
Suite 113
Gilbert, AZ 85296-3065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253037 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colibri Vistas Mental Health | Psychiatric/Mental Health | Current | Accepting new patients |
| Intentional Healing LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1166 E Warner Rd
Ste 113
Gilbert, AZ 85296
Phone (480) 815-7311
24871 S Ellsworth Rd
Ste 100162
Queen Creek, AZ 85142
Phone (480) 269-4106
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1215785787
-
- Psychiatric/Mental Health Nurse Practitioner
- Queen Creek, AZ
- NPI 1619823846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1649140922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24871 S ELLSWORTH RD STE 100-162",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851421574",
"telephone_number": "480-269-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24871 S ELLSWORTH RD STE 100-162",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851421574",
"telephone_number": "480-269-4106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "TERESA",
"middle_name": "EVETTE",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-11",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "AZ",
"license": "253037",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "253037",
"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 Mar 12, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.