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

Canyon Haven Psychiatry LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1275488082

Canyon Haven Psychiatry LLC is a Psychiatric/Mental Health Nurse Practitioner in Glendale, Arizona. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6120 W Bell Rd Ste 100A
Glendale, AZ 85308-3780
Phone: (480) 999-5114
Fax: (480) 459-3339
Show map & directions

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 number1275488082
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Waweru — Owner Of Entity · (480) 999-5114
NPI enumeratedFebruary 27, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address6120 W Bell Rd Ste 100a, Glendale, AZ 85308-3780

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