Mapo Wellness Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MAPO WELLNESS CENTER LLC

Practice address

4494 W Peoria Ave Ste 13-115a
Glendale, AZ 85302-2023

Phone

(901) 800-1037

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Hortense Bissila, PMHNPNPI 1538627781

Title

Owner

Phone

(901) 800-1037

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hortense Bissila

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
  • NPI 1538627781
  NPD (past) Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1952087637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 ROCKCREEK PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380164594",
            "telephone_number": "901-800-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 13-115A",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853022023",
            "telephone_number": "901-800-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPO WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BISSILA",
        "authorized_official_first_name": "HORTENSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-800-1037",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Manos
• Michael James Mansfield, DMD
• Daniel V. Manzanares, MD
• Brittany Manzoline, PHARMD
• Saman Manzouri, DO
• Claire Marasigan, PA-C
• Jaime Lynn Maratta, APN, C
• Razvan Claudiu Marc, PHARM.D.
• Tracy March
• Alan Marchbanks, PA- C

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, 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 Jun 26, 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.