Maricopa Christian Psychiatry Group, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MARICOPA CHRISTIAN PSYCHIATRY GROUP, LLC

Practice address

3130 N Arizona Ave Ste 101
Chandler, AZ 85225-7162

Phone

(480) 284-8344

Fax

(480) 284-8622

NPI assigned

Sep 6, 2017

Organization subpart

No

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

Authorized official

Name

Christy N Olloh, NPNPI 1134591753

Title

Owner of Entity

Phone

(480) 284-8344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy Nneka Olloh, DNP, RNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
  • NPI 1134591753
  Medicare reassignment Care Compare group NPD Authorized official
• Yujun Lao

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1437679701

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Adaobi Moemenam, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Worth, TX
  • NPI 1487044897

  AZ, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Tenishia Kim Santiago, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Annandale, NJ
  • NPI 1497254932

  AZ

  Medicare reassignment Care Compare group
• Mirandine Alce, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Prescott, AZ
  • NPI 1841678943
  Medicare reassignment NPD
• Rosario Lorigan, LPC

  • Professional Counselor
  • Phoenix, AZ
  • NPI 1083087001
  Medicare reassignment NPD

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1659899045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N ARIZONA AVE STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257162",
            "telephone_number": "480-284-8344",
            "fax_number": "480-284-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N ARIZONA AVE STE 101",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852257162",
            "telephone_number": "480-284-8344",
            "fax_number": "480-284-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICOPA CHRISTIAN PSYCHIATRY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-06",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "OLLOH",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "480-284-8344",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Strong Maradik, LMSW
• Kelly Marcelle, LPC
• Marissa Pare Marchand
• Kimberlee Mares
• Marick Home Care LLC
• Maricopa County Special Health Care District (Valleywise Community Health Center - Chandler Pharmacy)
• Maricopa County Special Health Care District (Maricopa Integrated Health)
• Maricopa Home Health, LLC
• Anthony Joseph Marino, LMT, MMP
• Hailey Angela Marino

• Psychiatric/Mental Health Nurse Practitioner in Chandler, AZ
• Providers in Chandler, 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 Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.