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

Luis F Fong, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1598259467

Luis F Fong, PMHNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Denova Collaborative Health, LLC, a 143-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2018
Specialties on file
2
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

610 E Baseline Rd Ste 5
Phoenix, AZ 85042-6536
Phone: (602) 230-7373
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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 AP11445 (AZ)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN177607 (AZ)

Record details

NPI number1598259467
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 14, 2018
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Denova Collaborative Health, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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