Valley Mobile Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

Legal business name

VALLEY MOBILE PSYCHIATRIC SERVICES LLC

Practice address

1509 E Campbell Ave
Gilbert, AZ 85234-4815

Phone

(480) 658-9640

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Ewelina Lucarelli, NP

Title

Owner

Phone

(480) 658-9640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1790358943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E CAMPBELL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344815",
            "telephone_number": "480-658-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 E CAMPBELL AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344815",
            "telephone_number": "480-658-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MOBILE PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "LUCARELLI",
        "authorized_official_first_name": "EWELINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-658-9640",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Clinical Nurse Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.