NPIMap

Individual provider Active NPI

Cholleta Wanjiru Menja, DNP-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1659990844
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
298893 Issued in AZ
Practice address
3255 W Carter Rd
Phoenix, AZ 85041-6227
Phone
(480) 232-8260
NPI assigned
Apr 9, 2020
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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 298893 AZ Primary

Addresses

Primary practice location

3255 W Carter Rd
Phoenix, AZ 85041-6227

Mailing address

3255 W Carter Rd
Phoenix, AZ 85041-6227
Phone (480) 232-8260

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL greatvalleybehavioralhome@gmail.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515001865 AZ Practitioner - Nurse Practitioner 4486172277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3255 W Carter Rd
Phoenix, AZ 85041-6227
Phone 480232826001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Microdot Recovery LLC Current Accepting new patients
Great Valley Behavioral Homes LLC Psychiatric/Mental Health CurrentSince Jan 1, 2025 Accepting new patients
Kingsway Health Services LLC Psychiatric/Mental Health Current Accepting new patients
Great Valley Behavioral Homes Community/Behavioral Health Past Accepting new patients
Great Valley Behavioral Homes LLC Past Accepting new patients
Great Valley Behavioral Homes Community/Behavioral Health Past Accepting new patients
Great Valley Behavioral Homes Past Accepting new patients
Great Valley Behavioral Homes Past Accepting new patients
Great Valley Behavioral Homes Community/Behavioral Health Past Accepting new patients
Great Valley Behavioral Homes LLC Past Accepting new patients
Great Valley Behavioral Homes Community/Behavioral Health Past Accepting new patients
Great Valley Behavioral Homes Past Accepting new patients
Great Valley Behavioral Homes LLC Past Accepting new patients
Great Valley Behavioral Homes Past Accepting new patients

Locations

7520 S Estrella Pkwy
Goodyear, AZ 85338

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1659990844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 W CARTER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416227",
            "telephone_number": "480-232-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 W CARTER RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416227",
            "telephone_number": "480-232-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENJA",
        "first_name": "CHOLLETA",
        "middle_name": "WANJIRU",
        "name_prefix": "Dr.",
        "credential": "DNP-PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-09",
        "last_updated": "2023-10-17",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "298893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "greatvalleybehavioralhome@gmail.com",
            "affiliation": "N",
            "endpointDescription": "medical records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3255 W Carter Rd",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850416227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.