Grand Canyon Psychiatric Services PLLC
NPI 1609571173 · Psychiatric/Mental Health Nurse Practitioner · San Tan Valley, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Canyon Psychiatric Services PLLC is a Psychiatric/Mental Health Nurse Practitioner organization in San Tan Valley, AZ (NPI 1609571173).
Provider details
- NPI number
- 1609571173
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Peter Njogu, Ceo(316) 371-9196
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
3 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
Other names (DBA / former)
- Doing business as
- Grand Canyon Psychiatric Services
- Doing business as
- Grand Canyon Psychiatric Services
Registry dates
- Enumerated
- 2023-04-03
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Grand Canyon Psychiatric Services PLLC's NPI number?
- Grand Canyon Psychiatric Services PLLC's National Provider Identifier (NPI) is 1609571173, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Canyon Psychiatric Services PLLC?
- Grand Canyon Psychiatric Services PLLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Grand Canyon Psychiatric Services PLLC located?
- Grand Canyon Psychiatric Services PLLC's practice location on file with NPPES is 28581 N Clover Cir, San Tan Valley, AZ 85143-5869.
- What is Grand Canyon Psychiatric Services PLLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Canyon Psychiatric Services PLLC is (316) 371-9196.
- Does Grand Canyon Psychiatric Services PLLC accept Medicare?
- Grand Canyon 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 Grand Canyon Psychiatric Services PLLC?
- The authorized official listed on Grand Canyon Psychiatric Services PLLC's NPPES record is Peter Njogu, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Canyon Psychiatric Services PLLC's NPI active?
- Yes — Grand Canyon Psychiatric Services PLLC's NPI (1609571173) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.