MEDICARE: STRATEGIC MENTAL HEALTH, 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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1861770950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRATEGIC MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	8160 E BUTHERUS DR STE 7
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2523
Country	:	US
Telephone Number	:	602-377-7326
Fax Number	:	480-499-5526

Provider Business Practice Location Address
First Line	:	8160 E BUTHERUS DR STE 7
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85260-2523
Country	:	US
Telephone Number	:	602-377-7326
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DIANA LYNN SIMMONS
Credential	:
Telephone Number	:	623-512-8949

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	12/08/2025

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