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

Dr. Marshall E Umoren, PMHNPBC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1982105334

Dr. Marshall E Umoren, PMHNPBC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Great Tower Recovery LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2018
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Practice location Address checks out

5501 N 19th Ave
Phoenix, AZ 85015-2450
Phone: (602) 492-9800
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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 · Licence AP10997 (AZ)

Record details

NPI number1982105334
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNPBC
Sole proprietorNo
NPI enumeratedFebruary 21, 2018
Last updated in NPPESJune 16, 2023
Certification dateJune 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Great Tower Recovery Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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