Organization Active NPI

Privy Confidants PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • San Tan Valley, AZ
National Provider Identifier
1689262545
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRIVY CONFIDANTS PLLC
Practice address
530 E Hunt Hwy Ste 103-140
San Tan Valley, AZ 85143-5224
Phone
(480) 605-4670
NPI assigned
Jan 6, 2021
Last updated
Jan 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Tara Ridgeway, PMHNPNPI 1851934988
Title
Owner
Phone
(480) 605-4670

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 Practitioner 363LP0808X Primary

Addresses

Primary practice location

530 E Hunt Hwy Ste 103-140
San Tan Valley, AZ 85143-5224

Mailing address

530 E Hunt Hwy Ste 103-140
San Tan Valley, AZ 85143-5224
Phone (480) 605-4670

National Provider Directory

National Provider Directory

Locations

530 E Hunt Hwy
Ste 103140
San Tan Valley, AZ 85143
Phone (480) 605-4670

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1609891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1689262545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E HUNT HWY STE 103-140",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435224",
            "telephone_number": "480-605-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E HUNT HWY STE 103-140",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435224",
            "telephone_number": "480-605-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVY CONFIDANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-06",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "RIDGEWAY",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-605-4670",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.