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

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932467727

Justin Randal Mickey, PMHNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2011, 15 years ago. Practices with Alium Health LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2012
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

2500 E Van Buren St
Phoenix, AZ 85008-6037
Phone: (602) 220-6078
Fax: (602) 220-6293
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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 TAP4472 (AZ)

Record details

NPI number1932467727
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedApril 30, 2012
Last updated in NPPESApril 30, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Alium Health Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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