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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306417258

Jared Brink, PMHNP-BC is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2021, 5 years ago. Works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

16620 N 40th St Ste E1
Phoenix, AZ 85032-3357
Phone: (602) 464-9576
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 13331 W Indian School Rd Ste B203, Litchfield Park, AZ 85340-4340 — (623) 269-3990
  • 2550 W Union Hills Dr Ste 350, Phoenix, AZ 85027-5187 — (623) 295-9026

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 260271 (AZ)

Record details

NPI number1306417258
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 1, 2021
Last updated in NPPESJuly 18, 2025
Certification dateJuly 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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