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

Divine Interventional Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1548109366

Divine Interventional Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Goodyear, Arizona. Registered with an NPI since 2026.

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

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Practice location Address checks out

1360 N Bullard Ave Ste 200
Goodyear, AZ 85395-2744
Phone: (310) 940-2265
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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 number1548109366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doris Tih — Owner · (310) 940-2265
NPI enumeratedMarch 26, 2026
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026
Mailing address1360 N Bullard Ave Ste 200, Goodyear, AZ 85395-2744

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