Provider Demographics
NPI:1477355840
Name:NEXUS MENTAL HEALTH LLC
Entity type:Organization
Organization Name:NEXUS MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAYPOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-408-9018
Mailing Address - Street 1:PO BOX 35321
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85069-5321
Mailing Address - Country:US
Mailing Address - Phone:602-206-7193
Mailing Address - Fax:602-887-6887
Practice Address - Street 1:1701 W TUCKEY LN UNIT 116
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-1710
Practice Address - Country:US
Practice Address - Phone:602-206-7193
Practice Address - Fax:602-887-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty