Marshall E Umoren, PMHNP BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP10997 Issued in AZ

Practice address

5501 N 19TH Ave
Phoenix, AZ 85015-2450

Phone

(602) 492-9800

NPI assigned

Feb 21, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Great Tower Recovery LLCGroup PAC ID 3274073523, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Great Tower Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1831801232

  AZ

  Medicare reassignment Care Compare group NPD
• Hightower Psychiatry LLC

  • Nurse Practitioner
  • Peoria, AZ
  • NPI 1588377451

  AZ

  Medicare reassignment NPD
• Richlin Hightower Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
  • NPI 1619570728

  Psychiatric/Mental Health

  NPD Authorized official
• Hightower Behavioral Health Services

  • Psychiatric Residential Treatment Facility
  • Peoria, AZ
  • NPI 1073138673
  NPD
• Great Valley Behavioral Homes LLC

  • Psychiatric Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1073456570
  NPD (past)
• Great Valley Behavioral Homes LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1679347462

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1982105334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13206 W CRESTVALE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835496",
            "telephone_number": "480-262-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-492-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMOREN",
        "first_name": "MARSHALL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PMHNP BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-21",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Umbrella Medical LLC
• Yoshie Umemura, M.D.
• Sora Umlas
• Margaret Umlauf, PA-C
• Ifiok Umoren
• Carma C Umpleby
• Unconscious Mind
• Jerald P Underdahl, MD
• Understanding Women PC
• Heather B Underwood, OTR/L

• All providers in Phoenix, AZ
• 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 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.