Healthcare Provider Details
I. General information
NPI: 1003735341
Provider Name (Legal Business Name): RIVERWIND PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/11/2026
Last Update Date: 07/11/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
14040 N CAVE CREEK RD SUITE 101J
PHOENIX AZ
85022
US
IV. Provider business mailing address
14040 N CAVE CREEK RD SUITE 101J
PHOENIX AZ
85022
US
V. Phone/Fax
- Phone: 602-501-1477
- Fax: 602-501-1477
- Phone: 602-501-1477
- Fax: 602-501-1477
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
JESSICA
ASHLEY
CAPPS
Title or Position: PMHNP
Credential: DNP PMHNP-BC
Phone: 602-501-1477