Lamia Abdouni, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Chandler, AZ
NPI 1679928790 · NPPES record last updated Jul 9, 2025
Key facts
- NPI
- 1679928790
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP8756 (AZ)
- Practice address
- 70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711 - Phone
- (480) 464-4431
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Integrity Pain and Anesthesia PLLC
Practice addresses (Care Compare)
6677 W Thunderbird Rd
Suite G101
Glendale, AZ 85306-3724
Phone (480) 325-9600
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250225000156 | AZ | Practitioner - Nurse Practitioner | 5496275216 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN149508 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kpa Medical LLC | Past | Accepting new patients | |
| Redemption Psychiatry, LLC | Past |
Accepting new patients | |
| Psychology Specialists LTD | Past |
Accepting new patients |
Interoperability endpoints
- mpaz.lamia.abdouni@151006.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN149508 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP8756 | AZ | Yes |
Addresses
Primary practice location
70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Other providers in Chandler, AZ
- Badria Abdalla
- Saeed A Abdalla
- Salwa Abdelrahim
- Mohamed Abdi
- Amanda Mary Abdou
- Dahab Abdukkaliq
- Rasheedat Abdul-Azeez
- Kareem Abdullah
- Amanuel Abebaw
- Vincent Abella
All providers in Chandler, AZ · Psychiatric/Mental Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.