Individual provider Active NPI

Nicole Santoro, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1982478400
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
304829 Issued in AZ
Practice address
16620 N 40TH St Ste E1
Phoenix, AZ 85032-3357
Phone
(602) 464-9576
Fax
(602) 626-8901
NPI assigned
Nov 15, 2023
Last updated
Sep 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 304829 AZ Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN205514 AZ

Addresses

Primary practice location

16620 N 40TH St Ste E1
Phoenix, AZ 85032-3357

Mailing address

16620 N 40TH St Ste E1
Phoenix, AZ 85032-3357
Phone (602) 464-9576

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
I20240722002630 AZ Practitioner - Nurse Practitioner 8022554419 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurostim TMS Arizona PCGroup PAC ID 7012445240, 3 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 312
Gilbert, AZ 85295-3203
Phone (480) 916-4610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN205514AZMDPsychiatric/Mental Health Registered Nurse
304829AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince May 14, 2024 Accepting new patients
Dr. Gregory Carr MD LLC CurrentSince Nov 1, 2024 Accepting new patients
Partners in Recovery, LLC CurrentSince May 14, 2024 Accepting new patients
Neurostim TMS Arizona PC CurrentSince Dec 30, 2025 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients

Locations

1760 E Pecos Rd
Ste 312
Gilbert, AZ 85295
Phone (480) 916-4610

4330 E University Dr
Mesa, AZ 85205
Phone (480) 218-3280

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

14100 N 83rd Ave
Ste 100
Peoria, AZ 85381
Phone (623) 583-0232

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

3260 N Hayden Rd
Ste 210
Scottsdale, AZ 85251
Phone (480) 719-6554

6991 E Camelback Rd
Ste D300
Scottsdale, AZ 85251
Phone (480) 386-7030

8901 E Mountain View Rd
Ste 130
Scottsdale, AZ 85258
Phone (480) 870-4910

17300 N Dysart Rd
Surprise, AZ 85378
Phone (480) 719-6554

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1982478400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323357",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323357",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "NICOLE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "304829",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN205514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.