NPIMap

Organization Active NPI

My NP Healthcare PLLC

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1912613449
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MY NP HEALTHCARE PLLC
Practice address
2550 W Union Hills Dr Ste 350-4018
Phoenix, AZ 85027-5163
Phone
(844) 793-1923
Fax
(602) 584-6216
NPI assigned
Jan 27, 2023
Last updated
Jan 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MY NP HEALTHCARE PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Authorized official

Name
Gwendolyn Mathis, NPNPI 1194183137
Title
DNP-Pmhnp-FNP
Phone
(844) 793-1923

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU

Addresses

Primary practice location

2550 W Union Hills Dr Ste 350-4018
Phoenix, AZ 85027-5163

Mailing address

2550 W Union Hills Dr Ste 350-4018
Phoenix, AZ 85027-5163
Phone (844) 793-1923

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmathis@mynphealthcare.com Direct

National Provider Directory

National Provider Directory
Tax ID family
My NP Healthcare PLLC2 organizations share this tax ID, including this one
Part of
My NP Healthcare PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 W Union Hills Dr
Ste 3504018
Phoenix, AZ 85027
Phone (844) 793-1923

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1912613449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350-4018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "844-793-1923",
            "fax_number": "602-584-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350-4018",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275163",
            "telephone_number": "844-793-1923",
            "fax_number": "602-584-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NP HEALTHCARE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MY NP HEALTHCARE PLLC",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "DNP-PMHNP-FNP",
        "authorized_official_telephone_number": "844-793-1923",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmathis@mynphealthcare.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2550 W Union Hills Dr Ste 350-4018",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850275163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.