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Theresa Anne Raskauskas, MSN, FNP-BC, PMHNP-B

Nurse Practitioner, Psych/Mental Health in Phoenix, AZ. Individual provider (NPI-1).

NPI number1114294147
StatusActive
Last updated in NPPESApr 24, 2019

Details

NPI
1114294147
Entity type
Individual (NPI-1)
Name
Ms. Theresa Anne Raskauskas
Credential
MSN, FNP-BC, PMHNP-B
Sex
Female
Sole proprietor
No
Enumeration date
Nov 18, 2011
Last updated
Apr 24, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0808X Nurse Practitioner, Psych/Mental HealthAP10020AZYes
363LP0808X Nurse Practitioner, Psych/Mental HealthRN206698AZ

Practice location

4212 N 16th St
Phoenix, AZ 85016-5319

Phone 602-163-1200 · Fax 602-263-1625

Mailing address

Po Box 31001-0698
Pasadena, CA 91110-0698

Phone 602-263-1200

Other practice locations

912 13th Ave
Belmar, NJ 07719-2805

Phone 732-894-3383

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Psychiatric/Mental Health Nurse Practitioner providers in Phoenix, AZ

All 703 Psychiatric/Mental Health Nurse Practitioner providers in Phoenix · All 44,202 providers in Phoenix

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