Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matilda Otang Eyong Epse Ebaietaka, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1952159253

Matilda Otang Eyong Epse Ebaietaka, PMHNP is a Nurse Practitioner in Gilbert, Arizona. Qualified in 2024, 2 years ago. Practices with Pinal Hispanic Council, a 9-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
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

3755 S Rome St
Gilbert, AZ 85297
Phone: (480) 677-5500
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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 223835 (AZ)

Record details

NPI number1952159253
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedMay 10, 2024
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pinal Hispanic Council — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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