Provider Demographics
NPI:1508320664
Name:CAPSTONE MENTAL HEALTH INC
Entity Type:Organization
Organization Name:CAPSTONE MENTAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANGILERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-818-9150
Mailing Address - Street 1:7165 E UNIVERSITY DR STE 154
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-6412
Mailing Address - Country:US
Mailing Address - Phone:480-818-9150
Mailing Address - Fax:602-635-4276
Practice Address - Street 1:7165 E UNIVERSITY DR STE 154
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-6412
Practice Address - Country:US
Practice Address - Phone:480-818-9150
Practice Address - Fax:623-738-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1235515768Medicaid