Organization Active NPI

Mentis Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mesa, AZ
National Provider Identifier
1922892991
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTIS HEALTH LLC
Practice address
944 W Natal Ave
Mesa, AZ 85210-7652
Phone
(860) 538-8006
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Malgorzata Kostrzewa, PMHNPNPI 1073180014
Title
Owner
Phone
(860) 538-8006

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

944 W Natal Ave
Mesa, AZ 85210-7652

Mailing address

944 W Natal Ave
Mesa, AZ 85210-7652
Phone (860) 538-8006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250702001497 AZ Part B Supplier - Clinic/Group Practice 0244743243 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1922892991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 W NATAL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107652",
            "telephone_number": "860-538-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 W NATAL AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852107652",
            "telephone_number": "860-538-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTIS HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "KOSTRZEWA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-538-8006",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.