Individual provider Active NPI

Victor Ortega, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1922891050
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
322885 Issued in AZ
Practice address
3495 Piedmont Rd NE BLDG 11-121
Atlanta, GA 30305-1974
Phone
(470) 684-6262
NPI assigned
May 22, 2025
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 322885 AZ Primary

Addresses

Primary practice location

3495 Piedmont Rd NE BLDG 11-121
Atlanta, GA 30305-1974

Mailing address

407 Coopers Pond Dr
Lawrenceville, GA 30044-5231
Phone (240) 565-1688

Other practice location 1

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone (240) 565-1688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
322885AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dependable Mental Health Care Single Specialty CurrentSince May 25, 2025 Accepting new patients

Locations

1910 S Stapley Dr
Ste 120
Mesa, AZ 85204
Phone (480) 480-2794

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1922891050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 COOPERS POND DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445231",
            "telephone_number": "240-565-1688",
            "fax_number": "470-221-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3495 PIEDMONT RD NE BLDG 11-121",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051974",
            "telephone_number": "470-684-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 S Stapley Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852046676",
            "country_code": "US",
            "telephone_number": "240-565-1688",
            "fax_number": "470-221-1659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "VICTOR",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-22",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "322885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.