Individual provider Active NPI

Lillian Wei Chang, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659866416
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11303 Issued in AZ
Practice address
2715 N 3Rd St
Phoenix, AZ 85004-1106
Phone
(602) 808-2800
Fax
(602) 808-2799
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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 AP11303 AZ Primary

Addresses

Primary practice location

2715 N 3Rd St
Phoenix, AZ 85004-1106

Mailing address

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395-2626
Phone (623) 295-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180918002695 AZ Practitioner - Nurse Practitioner 3678824497 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcann Mental Health Services PLLCGroup PAC ID 0941335350, 13 clinicians

Practice addresses (Care Compare)

4045 E Bell Rd
Suite 139
Phoenix, AZ 85032-2239
Phone (602) 824-9309

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Specialist PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2021 Accepting new patients
Marcann Mental Health Services, PLLC Psychiatric/Mental Health CurrentSince May 20, 2024 Accepting new patients
Marcann Health Alliance Psychiatric/Mental Health PastSince Mar 24, 2025 Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

13215 N 94th Dr
Peoria, AZ 85381
Phone (310) 270-6181

3815 E Bell Rd
Ste 1500
Phoenix, AZ 85032
Phone (602) 494-5015

4045 E Bell Rd
Ste 139
Phoenix, AZ 85032
Phone (602) 824-9309

13925 W Meeker Blvd
Ste 18
Sun City, AZ 85375
Phone (602) 824-9309

Interoperability endpoints

  • Direct secure messaging: lillian.changnp.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 3

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1659866416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041106",
            "telephone_number": "602-808-2800",
            "fax_number": "602-808-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "LILLIAN",
        "middle_name": "WEI",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.