Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ahp Psych NP PC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1649094012

Ahp Psych NP PC is a Psychiatric/Mental Health Nurse Practitioner in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone: (602) 341-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1649094012
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Black — Owner/Pmhnp · (951) 623-7194
NPI enumeratedNovember 13, 2024
Last updated in NPPESMarch 4, 2025
Certification dateFebruary 21, 2025
Mailing address1910 S Stapley Dr Ste 120, Mesa, AZ 85204-6676

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