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

Grand Canyon Psychiatric Services PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1609571173

Grand Canyon Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner in San Tan Valley, Arizona. Registered with an NPI since 2023.

In the registry since
2023
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

28581 N Clover Cir
San Tan Valley, AZ 85143-5869
Phone: (316) 371-9196
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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 number1609571173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Njogu — Ceo · (316) 371-9196
Other names Grand Canyon Psychiatric Services; Grand Canyon Psychiatric Services
NPI enumeratedApril 3, 2023
Last updated in NPPESNovember 28, 2023
Certification dateNovember 28, 2023
Mailing address28581 N Clover Cir, San Tan Valley, AZ 85143-5869

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