Individual provider Active NPI

Michelle Gilreath, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1679025944
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
304886 Issued in AZ
Practice address
2651 W Guadalupe Rd Ste 113
Mesa, AZ 85202-7250
Phone
(480) 253-9306
Fax
(833) 973-4954
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN182931 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 304886 AZ Primary

Addresses

Primary practice location

2651 W Guadalupe Rd Ste 113
Mesa, AZ 85202-7250

Mailing address

2651 W Guadalupe Rd Ste 113
Mesa, AZ 85202-7250
Phone (480) 253-9306

Other practice location 1

4212 N 16th St
Phoenix, AZ 85016-5319
Phone (602) 263-1200 ext. 5319

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN182931AZMDCritical Care Medicine Registered Nurse
304886AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell LLC Psychiatric/Mental Health CurrentSince Apr 21, 2024 Accepting new patients

Locations

2651 W Guadalupe Rd
Ste 113
Mesa, AZ 85202
Phone (480) 253-9306

1110 W Elliot Rd
Tempe, AZ 85284
Phone (469) 877-6078

Interoperability endpoints

  • Direct secure messaging: michelle.gilreath.1@31222.direct.athenahealth.com

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": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1679025944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 W GUADALUPE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027250",
            "telephone_number": "480-253-9306",
            "fax_number": "833-973-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 W GUADALUPE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027250",
            "telephone_number": "480-253-9306",
            "fax_number": "833-973-4954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165319",
            "country_code": "US",
            "telephone_number": "602-263-1200 x5319",
            "fax_number": "602-200-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILREATH",
        "first_name": "MICHELLE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "RN182931",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "304886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.