MEDICARE: NEW VISION PSYCHIATRY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0808X	Psychiatric/Mental Health Registered Nurse

General Provider Information

NPI Number	:	1699639575
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW VISION PSYCHIATRY, LLC

Provider Business Mailing Address
First Line	:	5333 N 7TH ST STE B219
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2814
Country	:	US
Telephone Number	:	601-530-5287
Fax Number	:	601-429-9195

Provider Business Practice Location Address
First Line	:	5333 N 7TH ST STE B219
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85014-2814
Country	:	US
Telephone Number	:	833-529-6386
Fax Number	:	601-429-9195

Authorized Official
Title or Position	:	OWNER
Name	:	FELICIA MCNEIL
Credential	:	NP
Telephone Number	:	601-530-5287

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	03/06/2026

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