Active NPI
Nicole Santoro, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 304829
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN205514 | AZ | MD | Psychiatric/Mental Health Registered Nurse |
| 304829 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Dr. Gregory Carr MD LLC | Current | Accepting new patients | |
| Partners in Recovery, LLC | Current | Accepting new patients | |
| Neurostim TMS Arizona PC | Current | 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.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1750134425
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1386041861
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1922232925
-
dba Mind Matters Family Health
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
- NPI 1154003184
-
- Community/Behavioral Health Agency
- Glendale, AZ
- NPI 1659623882
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.