Individual provider Active NPI

Nathan Vollbrecht, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1932893591
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
292882 Issued in AZ
Practice address
600 S Dobson Rd Ste E36
Chandler, AZ 85224-5693
Phone
(480) 542-0222
Fax
(888) 979-8197
NPI assigned
Jun 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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 292882 AZ Primary

Addresses

Primary practice location

600 S Dobson Rd Ste E36
Chandler, AZ 85224-5693

Mailing address

600 S Dobson Rd Ste E36
Chandler, AZ 85224-5693
Phone (480) 542-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001297 AZ Practitioner - Nurse Practitioner 4981068830 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
292882AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Sep 3, 2023 Accepting new patients
Redemption Psychiatry, LLC PastSince Jan 12, 2025 Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients

Locations

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

6915 E Main St
Ste 200
Mesa, AZ 85207

40 E Mitchell Dr
Ste 100
Phoenix, AZ 85012
Phone (602) 995-7474

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

10844 N 23rd Ave
Ste 200
Phoenix, AZ 85029
Phone (602) 353-2340

3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784

10844 N 23rd Ave
Ste 100
Phoenix, AZ 85029
Phone (602) 208-2800

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

Interoperability endpoints

  • Direct secure messaging: nathan.vollbrecht.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1932893591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE E36",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245693",
            "telephone_number": "480-542-0222",
            "fax_number": "888-979-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S DOBSON RD STE E36",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245693",
            "telephone_number": "480-542-0222",
            "fax_number": "888-979-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLBRECHT",
        "first_name": "NATHAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "292882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.