Active NPI
Rean Allam Dispo, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Tolleson, AZ
National Provider Identifier
1801736848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 334356
- Practice address
- 2028 South 101St Drive
Tolleson, AZ 85353 - Phone
- (623) 570-5298
- NPI assigned
- Mar 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 334356 | AZ | Primary |
Addresses
Primary practice location
2028 South 101St Drive
Tolleson, AZ 85353
Mailing address
2028 South 101St Drive
Tolleson, AZ 85353
Phone (623) 570-5298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 334356 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1801736848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 SOUTH 101ST DRIVE",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "85353",
"telephone_number": "623-570-5298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 SOUTH 101ST DRIVE",
"city": "TOLLESON",
"state": "AZ",
"postal_code": "85353",
"telephone_number": "623-570-5298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DISPO",
"first_name": "REAN",
"middle_name": "ALLAM",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-03-30",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "334356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolleson, AZ
- Destiny Behavioral Health Residential Care LLC 6
- Destiny Behavioral Health Residential Care, LLC
- Destiny Behavioral Health Residential Care, LLC
- Destiny Behavioral Health Residential Care, LLC 7
- Solomon Mengsteab Desu
- DMD Non Emergency Medical Transportation, LLC
- America Dominguez Jimenez
- Greta Denise Doss
- Paul Thomas Draugalis, PHARMACIST
- Dream Street Group Homes LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.