Ponderosa Psychiatry PLLC
NPI 1548012966 · Psychiatric/Mental Health Nurse Practitioner · Phoenix, AZ
Ponderosa Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in Phoenix, AZ (NPI 1548012966).
Provider details
- NPI number
- 1548012966
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Cameo Johnson, Owner(928) 235-2927
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
- 2024-04-02
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Ponderosa Psychiatry PLLC's NPI number?
- Ponderosa Psychiatry PLLC's National Provider Identifier (NPI) is 1548012966, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponderosa Psychiatry PLLC?
- Ponderosa Psychiatry PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Ponderosa Psychiatry PLLC located?
- Ponderosa Psychiatry PLLC's practice location on file with NPPES is 2030 W Baseline Rd # 182-8355, Phoenix, AZ 85041-6574.
- What is Ponderosa Psychiatry PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ponderosa Psychiatry PLLC is (928) 235-2927.
- Who is the authorized official for Ponderosa Psychiatry PLLC?
- The authorized official listed on Ponderosa Psychiatry PLLC's NPPES record is Cameo Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponderosa Psychiatry PLLC's NPI active?
- Yes — Ponderosa Psychiatry PLLC's NPI (1548012966) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.