Healthcare Provider Details

I. General information

NPI: 1396678132
Provider Name (Legal Business Name): ARCADIA PSYCHIATRY AND WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21640 N 19TH AVE STE C101
PHOENIX AZ
85027-2735
US

IV. Provider business mailing address

7000 N 16HT ST SUITE 120, PMB #234
PHOENIX AZ
85020-5429
US

V. Phone/Fax

Practice location:
  • Phone: 480-440-4041
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEVEN BANGIYEV
Title or Position: OWNER / MEMBER
Credential: MSN, PMHNP-BC
Phone: 480-440-4041