Individual provider Active NPI

Joseph Bernard Gull, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1962119081
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
282718 Issued in AZ
Practice address
4451 E Oak St
Phoenix, AZ 85008-2410
Phone
(602) 685-6000
Fax
(602) 508-4492
NPI assigned
Oct 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN170422 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 282718 AZ Primary

Addresses

Primary practice location

4451 E Oak St
Phoenix, AZ 85008-2410

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tmbmbdl@protonmail.com Health Information Exchange (HIE)
Direct Messaging Address tmbmbdl@protonmail.com Health Information Exchange (HIE)

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
I20230414000437 AZ Practitioner - Nurse Practitioner 5395110845 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN170422AZMDRegistered Nurse
282718AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Terros Inc CurrentSince Jan 11, 2025 Accepting new patients
Terros, Inc. Current Accepting new patients
Terros, Inc. CurrentSince Jan 11, 2025 Accepting new patients
Lifewell Behavioral Wellness CurrentSince Mar 13, 2023 Accepting new patients
Lifewell Behavioral Wellness PastSince Jun 22, 2021 Accepting new patients

Locations

6915 E Main St
Ste 200
Mesa, AZ 85207

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

3540 E Baseline Rd
Phoenix, AZ 85042
Phone (623) 267-5200

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

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

2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331

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

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

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

Interoperability endpoints

  • Direct secure messaging: joseph.gull.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 5

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": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1962119081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082410",
            "telephone_number": "602-685-6000",
            "fax_number": "602-508-4492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULL",
        "first_name": "JOSEPH",
        "middle_name": "BERNARD",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-28",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN170422",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "282718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmbmbdl@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15806 S 30th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850487736",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmbmbdl@protonmail.com",
            "affiliation": "N",
            "endpointDescription": "tmbmbdl@protonmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15806 S 30th St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850487736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.