MEDICARE: UNCONSCIOUS MIND

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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician
2	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1184571200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNCONSCIOUS MIND

Provider Business Mailing Address
First Line	:	5529 W PARSONS RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85083-7449
Country	:	US
Telephone Number	:	480-647-2279
Fax Number	:

Provider Business Practice Location Address
First Line	:	10220 N 31ST AVE STE 220
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85051-9581
Country	:	US
Telephone Number	:	480-647-2279
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER GODLEY
Credential	:	PMHNP-BC
Telephone Number	:	480-647-2279

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

Similar Medicare Providers

1689328197 — JENNIFER GODLEY PMHNP
Practice Location Address:

10220 N 31ST AVE STE 220
PHOENIX, AZ
85051-9581

Practice Phone: 480-647-2279
Practice Fax:

1407845233 — MR. THOMAS WILLIAM CALLAHAN MSW
Practice Location Address:

10220 N 31ST AVE , SUITE 205
PHOENIX, AZ
85051-9581

Practice Phone: 602-997-1515
Practice Fax: 602-997-1305

1558352310 — HEIDI H HOWARD LCSW
Practice Location Address:

10220 N 31ST AVE , #205
PHOENIX, AZ
85051-9581

Practice Phone: 602-843-0000
Practice Fax: 602-997-1305

1205897121 — MS. PATRICIA L. BRADLEY-BATES LPC, LISAC
Practice Location Address:

10220 N 31ST AVE , SUITE 205
PHOENIX, AZ
85051-9581

Practice Phone: 602-843-0000
Practice Fax: 602-997-1305

1255538732 — FAMILY SERVICE AGENCY
Practice Location Address:

10220 N 31ST AVE STE 103-105
PHOENIX, AZ
85051-9581

Practice Phone: 602-863-1862
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1184924904 — ARASH ZAMANIAN M.D.
Practice Location Address:

10220 N 31ST AVE , SUITE #101
PHOENIX, AZ
85051-9581

Practice Phone: 602-997-2233
Practice Fax: 602-997-2667

Directions to “UNCONSCIOUS MIND ” Practice Location

Language	Start Address	Practice Location

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