Mental Health Matters Az LLC
NPI 1205539004ActiveOrganization· Nurse Practitioner· Scottsdale, AZ
Nurse Practitioner in Scottsdale, Arizona, registered in NPPES in March 2023. The authorized official on file is Anzhela Davydov, FNP, PMHNP, Nurse Pracitioner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205539004 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2023 |
| Last updated in NPPES | Apr 13, 2023 |
| Certified by provider | Apr 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
| Nurse Practitioner, Family | 363LF0000X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AZ) |
|---|
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