Individual provider Active NPI

Sarette Zecharia, PHD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1013387307
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3554 Issued in AZ
Practice address
5635 N Scottsdale Rd Ste 170
Scottsdale, AZ 85250-5945
Phone
(480) 383-3882
Fax
(480) 383-6540
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3554 AZ Primary

Addresses

Primary practice location

5635 N Scottsdale Rd Ste 170
Scottsdale, AZ 85250-5945

Mailing address

5635 N Scottsdale Rd Ste 170
Scottsdale, AZ 85250-5945
Phone (480) 383-3882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000923 AZ Practitioner - Clinical Psychologist 7618275660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Psychology LLCGroup PAC ID 6204168511, 2 clinicians

Practice addresses (Care Compare)

4921 E Bell Rd
Suite 203
Scottsdale, AZ 85254-6002
Phone (480) 383-3882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3554AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Psychology LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients
Valley of the Sun Institute for Pain Management, PLLC Past Accepting new patients

Locations

5635 N Scottsdale Rd
Ste 170
Scottsdale, AZ 85250
Phone (480) 261-4061

5635 N Scottsdale Rd
#128
Scottsdale, AZ 85250

6501 E Greenway Pkwy
Scottsdale, AZ 85254
Phone (480) 368-7893

4921 E Bell Rd
Ste 203
Scottsdale, AZ 85254
Phone (480) 383-3882

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1013387307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 N SCOTTSDALE RD STE 170",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505945",
            "telephone_number": "480-383-3882",
            "fax_number": "480-383-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 N SCOTTSDALE RD STE 170",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852505945",
            "telephone_number": "480-383-3882",
            "fax_number": "480-383-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHARIA",
        "first_name": "SARETTE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.