East Valley Mental Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP4476 Issued in AZ

Legal business name

EAST VALLEY MENTAL WELLNESS PLLC

Practice address

1166 E Warner Rd
Suite 101
Gilbert, AZ 85296-3064

Phone

(480) 570-0497

Fax

(480) 452-0145

NPI assigned

Aug 15, 2012

Last updated

Nov 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann Marie Casey, PMHNPNPI 1821357732

Title

Member

Phone

(480) 570-0497

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Ann Marie Casey, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1821357732
  Authorized official Same address or phone

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1891043311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963064",
            "telephone_number": "480-570-0497",
            "fax_number": "480-452-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 E WARNER RD",
            "address_2": "SUITE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963064",
            "telephone_number": "480-570-0497",
            "fax_number": "480-452-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "ANN MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-570-0497",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "726497",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Valley Family Healthcare, PC
• East Valley Family Practice, LLC
• East Valley Heart Rhythm Clinic LLC
• East Valley Hospital, LLC (East Valley ER & Hospital)
• East Valley Medical LLC
• East Valley Neurology P C
• East Valley Pain Center, P.C.
• East Valley Pediatric Dentistry
• East Valley Pediatrics, PLC
• East Valley Psychiatric Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.