Wisteria Mental Health & Wellness Center PLLC
NPI 1194413419 · Child & Adolescent Psychiatry Physician · Phoenix, AZ
Wisteria Mental Health & Wellness Center PLLC is a Child & Adolescent Psychiatry Physician organization in Phoenix, AZ (NPI 1194413419).
Provider details
- NPI number
- 1194413419
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roberto Bracamonte Valencia, Ceo(602) 350-3046
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-25
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Wisteria Mental Health & Wellness Center PLLC's NPI number?
- Wisteria Mental Health & Wellness Center PLLC's National Provider Identifier (NPI) is 1194413419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wisteria Mental Health & Wellness Center PLLC?
- Wisteria Mental Health & Wellness Center PLLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Wisteria Mental Health & Wellness Center PLLC located?
- Wisteria Mental Health & Wellness Center PLLC's practice location on file with NPPES is 301 W Echo Ln, Phoenix, AZ 85021-5554.
- What is Wisteria Mental Health & Wellness Center PLLC's phone number?
- The practice phone number listed in the NPPES registry for Wisteria Mental Health & Wellness Center PLLC is (480) 399-8455.
- Who is the authorized official for Wisteria Mental Health & Wellness Center PLLC?
- The authorized official listed on Wisteria Mental Health & Wellness Center PLLC's NPPES record is Roberto Bracamonte Valencia, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wisteria Mental Health & Wellness Center PLLC's NPI active?
- Yes — Wisteria Mental Health & Wellness Center PLLC's NPI (1194413419) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.