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

South Mountain Family Psychiatry, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1336788868

South Mountain Family Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
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

11022 S 51st St Ste 250
Phoenix, AZ 85044-4308
Phone: (480) 939-6137
Fax: (602) 429-8445
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 number1336788868
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Wilson — Business Manager · (602) 418-9105
NPI enumeratedJanuary 1, 2020
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021
Mailing address11022 S 51st St Ste 250, Phoenix, AZ 85044-4308

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