Organization Active NPI

Geneva Mind & Wellness Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Litchfield Park, AZ
National Provider Identifier
1689414153
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
GENEVA MIND & WELLNESS PSYCHIATRIC SERVICES LLC
Practice address
4579 N Village Pkwy
Litchfield Park, AZ 85340-2761
Phone
(623) 760-6381
Fax
(623) 322-3268
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
Genevieve Ijeoma Onyirimba, NPNPI 1407323710
Title
Pmhnp
Phone
(623) 760-6381

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

4579 N Village Pkwy
Litchfield Park, AZ 85340-2761

Mailing address

4579 N Village Pkwy
Litchfield Park, AZ 85340-2761
Phone (623) 760-6381

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260109003300 AZ Part B Supplier - Clinic/Group Practice 9032695911 Receives reassigned benefits from 1 practitioner
Practice locations: Litchfield Park, AZ

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1689414153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4579 N VILLAGE PKWY",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402761",
            "telephone_number": "623-760-6381",
            "fax_number": "623-322-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4579 N VILLAGE PKWY",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853402761",
            "telephone_number": "623-760-6381",
            "fax_number": "623-322-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEVA MIND & WELLNESS PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "ONYIRIMBA",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_middle_name": "IJEOMA",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "623-760-6381",
        "authorized_official_credential": "NP"
    },
    "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": []
}

Other providers in Litchfield Park, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.