Individual provider Active NPI

Naomi Mendoza Ealy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1649882929
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023032962 Issued in AZ
Practice address
37200 N Gantzel Rd Ste 200
Queen Creek, AZ 85140-7385
Phone
(480) 684-6747
Fax
(480) 546-5365
NPI assigned
Aug 18, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 144243 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 16338-33 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023032962 AZ Primary

Addresses

Primary practice location

37200 N Gantzel Rd Ste 200
Queen Creek, AZ 85140-7385

Mailing address

2536 W Bartlett Way
San Tan Vly, AZ 85144-6614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250103002167 AZ Practitioner - Nurse Practitioner 8325576341 Reassigns benefits to 1 organization
I20250327001880 WI Practitioner - Nurse Practitioner 8325576341

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

1910 S Stapley Dr
Suite 209
Mesa, AZ 85204-6679
Phone (888) 362-5953

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
144243AZMDRegistered Nurse
2023032962AZMDPsychiatric/Mental Health Nurse Practitioner
16338-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC Psychiatric/Mental Health CurrentSince Aug 29, 2025 Accepting new patients

Locations

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

37200 N Gantzel Rd
Ste 200
San Tan Valley, AZ 85140
Phone (480) 684-3747

Organizations & group practices 1

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": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1649882929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 W BARTLETT WAY",
            "city": "SAN TAN VLY",
            "state": "AZ",
            "postal_code": "851446614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37200 N GANTZEL RD STE 200",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407385",
            "telephone_number": "480-684-6747",
            "fax_number": "480-546-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA EALY",
        "first_name": "NAOMI",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-18",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "144243",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "16338-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "2023032962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.