Organization · Type 2 NPI
MGT Psych LLC
Psychiatric/Mental Health Nurse Practitioner · Mesa, AZ
NPI number
1992401228
Active
Practice location
7117 E Peralta Cir
Mesa, AZ 85212-9825
Mailing address
7316 E Southern Ave Unit 6091
Mesa, AZ 85216-5005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | None listed |
| Pain Medicine Physician | 208VP0000X | None listed |
| Primary Podiatric Medicine Podiatrist | 213EP1101X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
| Primary Care Nurse Practitioner | 363LP2300X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1992401228
MGT Psych LLC's National Provider Identifier is 1992401228, issued on Feb 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Mesa, AZ. The record was last updated on Jul 30, 2026.