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Vitalis Wellness Center of Phoenix, Az PC

Brain Injury Medicine (Psychiatry & Neurology) Physician in Mesa, AZ · enumerated 2021 · authorized official Nellie Samuel, Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497421101

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Registry record

Entity type Organization (Type 2)
Legal business name Vitalis Wellness Center of Phoenix, Az PC
Other name <Unavail>
Practice address 1910 S Stapley Dr Ste 120, Mesa, AZ, 85204
Phone (800) 922-1873
Enumeration date Aug 22, 2021
Last updated in NPPES Jul 19, 2024

Taxonomy & classification

2084P0301X Brain Injury Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Primary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
2084P0804X Child & Adolescent Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Nellie Samuel
Title Co-Owner
Phone (800) 922-1873

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-07-19. Verify at npiregistry.cms.hhs.gov.
Where is Vitalis Wellness Center of Phoenix, Az PC located?
The practice location on file with NPPES is in Mesa, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-07-19.