TIMOTHY HEADLEY PMHNP-BC NPI 1558215277

NPI Information

  • NPI: 1558215277
  • Provider Name: TIMOTHY HEADLEY, PMHNP-BC
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 2122 W TRACY LN
    PHOENIX, AZ
    ZIP 85023
  • Phone: (623) 349-9864

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NPI Details

Timothy Headley, PMHNP-BC is a psychiatric/mental health registered nurse in Phoenix, AZ. Timothy Headley, PMHNP-BC NPI is 1558215277. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2122 W TRACY LN
PHOENIX, AZ
ZIP 85023-369
Phone: (623) 349-9864

The enumeration date for this NPI number is 2/21/2026 and was last updated on 2/21/2026.

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
1163WP0808XRegistered NursePsychiatric/Mental Health254877ARIZONAYes

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

NPI Synchronization or Removal

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