South Mountain Family Psychiatry, LLC
NPI 1336788868 · 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)
South Mountain Family Psychiatry, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Phoenix, AZ (NPI 1336788868).
Provider details
- NPI number
- 1336788868
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- John Wilson, Business Manager(602) 418-9105
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
6 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
- 2020-01-01
- Last updated
- 2021-06-21
- Certified
- 2021-06-21
Frequently asked questions
- What is South Mountain Family Psychiatry, LLC's NPI number?
- South Mountain Family Psychiatry, LLC's National Provider Identifier (NPI) is 1336788868, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Mountain Family Psychiatry, LLC?
- South Mountain Family Psychiatry, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is South Mountain Family Psychiatry, LLC located?
- South Mountain Family Psychiatry, LLC's practice location on file with NPPES is 11022 S 51st St Ste 250, Phoenix, AZ 85044-4308.
- What is South Mountain Family Psychiatry, LLC's phone number?
- The practice phone number listed in the NPPES registry for South Mountain Family Psychiatry, LLC is (480) 939-6137.
- Does South Mountain Family Psychiatry, LLC accept Medicare?
- South Mountain Family Psychiatry, LLC 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 South Mountain Family Psychiatry, LLC?
- The authorized official listed on South Mountain Family Psychiatry, LLC's NPPES record is John Wilson, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Mountain Family Psychiatry, LLC's NPI active?
- Yes — South Mountain Family Psychiatry, LLC's NPI (1336788868) is active in the NPPES registry as of the last update on 2021-06-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.