OrganizationActive
Balanced Mental Health of Arizona
NPI 1366211971 · Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ
Provider details
- NPI number
- 1366211971
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jennifer Peterson, Chief Executive Officer(623) 205-3505
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
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
14122 W Mcdowell Rd Ste 203
Goodyear, AZ 85395-2505
Phone: (623) 349-1711
Fax: (623) 399-1958
Street-level locationGet directions
Mailing address
14122 W Mcdowell Rd Ste 203
Goodyear, AZ 85395-2505
Registry dates
- Enumerated
- 2023-12-22
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.