Active NPI
State 48 Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Snowflake, AZ
National Provider Identifier
1952205734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- STATE 48 PSYCHIATRY PLLC
- Practice address
- 501 S Main St
Snowflake, AZ 85937-5251 - Phone
- (480) 586-0035
- NPI assigned
- Oct 6, 2026
- Last updated
- Oct 6, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Skousen, PMHNP
- Title
- Owner
- Phone
- (480) 586-0035
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
501 S Main St
Snowflake, AZ 85937-5251
Mailing address
1745 W Western Dove Dr
Snowflake, AZ 85937-6185
Phone (480) 586-0035
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Snowflake, AZ
- NPI 1013529155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1952205734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1745 W WESTERN DOVE DR",
"city": "SNOWFLAKE",
"state": "AZ",
"postal_code": "859376185",
"telephone_number": "480-586-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 S MAIN ST",
"city": "SNOWFLAKE",
"state": "AZ",
"postal_code": "859375251",
"telephone_number": "480-586-0035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STATE 48 PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-06",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "SKOUSEN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "480-586-0035",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snowflake, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.