NPIMap

Organization Active NPI

Inner Peace Psychiatric Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bullhead City, AZ
National Provider Identifier
1669190864
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INNER PEACE PSYCHIATRIC SERVICES, LLC
Practice address
211 Moser Ave Unit 103
Bullhead City, AZ 86429-5249
Phone
(928) 419-1036
Fax
(928) 404-2213
NPI assigned
Aug 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Ms. Marie Bridget Moran, PMHNP-BCNPI 1386159440
Title
Ceo
Phone
(928) 404-2213

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

211 Moser Ave Unit 103
Bullhead City, AZ 86429-5249

Mailing address

211 Moser Ave Unit 2
Bullhead City, AZ 86429-5248
Phone (928) 419-1036

Other identifiers 1

IdentifierTypeStateIssuer
1386159440MedicaidAZ

Other names 1

  • Inner Peace Psychiatric Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL IPPS.BHC@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1669190864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MOSER AVE UNIT 2",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864295248",
            "telephone_number": "928-419-1036",
            "fax_number": "928-404-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MOSER AVE UNIT 103",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864295249",
            "telephone_number": "928-419-1036",
            "fax_number": "928-404-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER PEACE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-15",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "BRIDGET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-404-2213",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386159440",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "IPPS.BHC@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "business email",
            "address_1": "211 Moser Ave Unit 103",
            "city": "Bullhead City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864295249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Inner Peace Psychiatric Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullhead City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.