Healthcare Provider Details

I. General information

NPI: 1164331468
Provider Name (Legal Business Name): REUTER PLLC, DBA RADIANT MIND PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

IV. Provider business mailing address

14362 N FRANK LLOYD WRIGHT BLVD STE 1000
SCOTTSDALE AZ
85260-8847
US

V. Phone/Fax

Practice location:
  • Phone: 602-428-0207
  • Fax: 602-932-7903
Mailing address:
  • Phone: 602-428-0207
  • Fax: 602-932-7903

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: JORDAN REUTER
Title or Position: APRN, PMHNP-BC
Credential: PMHNP-BC
Phone: 602-679-0550