Ideal Self LLC
NPI 1467182774 · 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)
Ideal Self LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Phoenix, AZ (NPI 1467182774).
Provider details
- NPI number
- 1467182774
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angela Childs, Owner/Provider(623) 303-6777
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
4 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
- 2022-06-10
- Last updated
- 2023-03-19
- Certified
- 2023-03-19
Frequently asked questions
- What is Ideal Self LLC's NPI number?
- Ideal Self LLC's National Provider Identifier (NPI) is 1467182774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ideal Self LLC?
- Ideal Self LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ideal Self LLC located?
- Ideal Self LLC's practice location on file with NPPES is 12620 N Cave Creek Rd Ste 10a, Phoenix, AZ 85022-6528.
- What is Ideal Self LLC's phone number?
- The practice phone number listed in the NPPES registry for Ideal Self LLC is (623) 303-6777.
- Does Ideal Self LLC accept Medicare?
- Ideal Self 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 Ideal Self LLC?
- The authorized official listed on Ideal Self LLC's NPPES record is Angela Childs, Owner/Provider. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ideal Self LLC's NPI active?
- Yes — Ideal Self LLC's NPI (1467182774) is active in the NPPES registry as of the last update on 2023-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.