NPIMap

Organization Active NPI

Great Valley Behavioral Homes LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679347462
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GREAT VALLEY BEHAVIORAL HOMES LLC
Practice address
3255 W Carter Rd
Phoenix, AZ 85041-6227
Phone
(480) 232-8260
Fax
(602) 225-2201
NPI assigned
Nov 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Dr. Cholleta Wanjiru Menja, DNP, PMHNP-BCNPI 1659990844
Title
Administrator
Phone
(480) 232-8260

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 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

Other names 1

  • Great Valley Telepsychiatry PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250515001757 AZ Part B Supplier - Clinic/Group Practice 8224556014 Receives reassigned benefits from 2 practitioners
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory
Tax ID family
Great Valley Behavioral Homes LLC13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7520 S Estrella Pkwy
Goodyear, AZ 85338

Practitioners & affiliated clinicians

Practitioners 4

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": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1679347462",
    "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",
            "fax_number": "602-225-2201"
        },
        {
            "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",
            "fax_number": "602-225-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT VALLEY BEHAVIORAL HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "MENJA",
        "authorized_official_first_name": "CHOLLETA",
        "authorized_official_middle_name": "WANJIRU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-232-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC"
    },
    "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": [
        {
            "organization_name": "Great Valley Telepsychiatry PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great Valley Telepsychiatry PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.