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

Wanderist Behavioral Health PLLC

Organization Clinical Social Worker · NPI 1295559441

Wanderist Behavioral Health PLLC is a Clinical Social Worker in Tempe, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

2600 E Southern Ave Ste C3
Tempe, AZ 85282-7609
Phone: (626) 515-8875
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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
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1295559441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Carlson — Psychiatric Nurse Practitioner · (626) 515-8875
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address2600 E Southern Ave Ste C3, Tempe, AZ 85282-7609

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