Individual provider Active NPI

Ivy Konadu Attobra, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1669037248
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
225880 Issued in AZ
Practice address
3707 E Southern Ave Ste 2028
Mesa, AZ 85206-6214
Phone
(480) 725-9002
Fax
(480) 393-8540
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225880 AZ Primary
Psychiatry Physician 2084P0800X AP70052258 WA

Addresses

Primary practice location

3707 E Southern Ave Ste 2028
Mesa, AZ 85206-6214

Mailing address

3707 E Southern Ave Ste 2028
Mesa, AZ 85206-6214
Phone (480) 725-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3707 E Southern Ave
Suite 2028
Mesa, AZ 85206-2569

9135 Piscataway Rd
Suite 410
Clinton, MD 20735-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
225880AZMDPsychiatry Physician
AP70052258WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mentis Psychiatric Services LLC Psychiatry CurrentSince Dec 28, 2025 Accepting new patients

Locations

3707 E Southern Ave
Ste 2028
Mesa, AZ 85206
Phone (480) 420-7083

4539 N 22nd St
Ste N
Phoenix, AZ 85016
Phone (623) 226-4953

9135 Piscataway Rd
Ste 410
Clinton, MD 20735
Phone (240) 348-7860

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1669037248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 2028",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066214",
            "telephone_number": "480-725-9002",
            "fax_number": "480-393-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 E SOUTHERN AVE STE 2028",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066214",
            "telephone_number": "480-725-9002",
            "fax_number": "480-393-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTOBRA",
        "first_name": "IVY",
        "middle_name": "KONADU",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "225880",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "AP70052258",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.