Mental Health Wellness Boutique
NPI 1972266757 · Mental Health Clinic/Center (Including Community Mental Health Center) · Glendale, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mental Health Wellness Boutique is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Glendale, AZ (NPI 1972266757).
Provider details
- NPI number
- 1972266757
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Irina Ashamalla, Ceo(888) 906-8301
Specialties & taxonomies
Ambulatory Health Care Facilities
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
2 documented practice locations
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
Additional practice locations (1)
- 10210 W Happy Valley Pkwy Ste 145Peoria, AZ 85383-2881Phone: (888) 906-8301Fax: (623) 404-6602
Registry dates
- Enumerated
- 2021-10-18
- Last updated
- 2024-08-11
- Certified
- 2024-08-11
Frequently asked questions
- What is Mental Health Wellness Boutique's NPI number?
- Mental Health Wellness Boutique's National Provider Identifier (NPI) is 1972266757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mental Health Wellness Boutique?
- Mental Health Wellness Boutique is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Mental Health Wellness Boutique located?
- Mental Health Wellness Boutique's practice location on file with NPPES is 18001 N 79th Ave Ste B48, Glendale, AZ 85308-8393.
- What is Mental Health Wellness Boutique's phone number?
- The practice phone number listed in the NPPES registry for Mental Health Wellness Boutique is (888) 906-8301.
- Does Mental Health Wellness Boutique accept Medicare?
- Mental Health Wellness Boutique 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 Mental Health Wellness Boutique?
- The authorized official listed on Mental Health Wellness Boutique's NPPES record is Irina Ashamalla, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mental Health Wellness Boutique's NPI active?
- Yes — Mental Health Wellness Boutique's NPI (1972266757) is active in the NPPES registry as of the last update on 2024-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.