Organization Active NPI

Randy V. Mallari PLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1811490667
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
RANDY V. MALLARI PLC
Practice address
16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798
Phone
(480) 295-9977
NPI assigned
Mar 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Randy V. Mallari, PMHNP-BC, FNP-BCNPI 1306198429
Title
Owner
Phone
(602) 908-8580

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

16220 N Scottsdale Rd Ste 300
Scottsdale, AZ 85254-1798

Mailing address

14655 N 35TH Dr
Phoenix, AZ 85053-4605

Other practice location 1

10250 N 124th St
Scottsdale, AZ 85259-5201
Phone (602) 859-3256

Other names 3

  • Altruism Healthcare Doing business as
  • Legal Access Doing business as
  • RVM Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1521158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1811490667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14655 N 35TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 N SCOTTSDALE RD STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541798",
            "telephone_number": "480-295-9977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10250 N 124th St",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852595201",
            "country_code": "US",
            "telephone_number": "602-859-3256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDY V. MALLARI PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-16",
        "last_updated": "2025-04-03",
        "certification_date": "2025-03-29",
        "status": "A",
        "authorized_official_last_name": "MALLARI",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-908-8580",
        "authorized_official_credential": "PMHNP-BC, FNP-BC"
    },
    "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": [
        {
            "organization_name": "Altruism Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legal Access",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Legal Access",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RVM Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.