Divine Wellness Psychiatric Services PLLC
NPI 1245007210 · Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Wellness Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Phoenix, AZ (NPI 1245007210).
Provider details
- NPI number
- 1245007210
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Iheanyi Amanwanne, Owner(602) 465-6011
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-12-08
- Last updated
- 2023-12-08
- Certified
- 2023-12-08
Frequently asked questions
- What is Divine Wellness Psychiatric Services PLLC's NPI number?
- Divine Wellness Psychiatric Services PLLC's National Provider Identifier (NPI) is 1245007210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Wellness Psychiatric Services PLLC?
- Divine Wellness Psychiatric Services PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Divine Wellness Psychiatric Services PLLC located?
- Divine Wellness Psychiatric Services PLLC's practice location on file with NPPES is 3101 N Central Ave Ste 183, Phoenix, AZ 85012-3616.
- What is Divine Wellness Psychiatric Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Wellness Psychiatric Services PLLC is (602) 465-6011.
- Does Divine Wellness Psychiatric Services PLLC accept Medicare?
- Divine Wellness Psychiatric Services PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Divine Wellness Psychiatric Services PLLC?
- The authorized official listed on Divine Wellness Psychiatric Services PLLC's NPPES record is Iheanyi Amanwanne, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Wellness Psychiatric Services PLLC's NPI active?
- Yes — Divine Wellness Psychiatric Services PLLC's NPI (1245007210) is active in the NPPES registry as of the last update on 2023-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.