CHANGING MINDS PSYCHIATRY AZ LLC NPI 1518813666

NPI Information

  • NPI: 1518813666
  • Provider Name: CHANGING MINDS PSYCHIATRY AZ LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 1204 E BASELINE RD STE 101
    TEMPE, AZ
    ZIP 85283
  • Phone: (702) 405-8088

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NPI Details

CHANGING MINDS PSYCHIATRY AZ LLC is a psychiatric/mental health nurse practitioner in Tempe, AZ. CHANGING MINDS PSYCHIATRY AZ LLC NPI is 1518813666. The provider is registered as an organization entity type.

The provider's business location address is:

1204 E BASELINE RD STE 101
TEMPE, AZ
ZIP 85283-447
Phone: (702) 405-8088

The provider's authorized official is Nicole Vaughn .
The authorized official title is Owner and has the following contact phone number (702) 405-8088.

The enumeration date for this NPI number is 3/9/2026 and was last updated on 3/9/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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