Lighthouse Psychology LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LIGHTHOUSE PSYCHOLOGY LLC

Practice address

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

Phone

(480) 383-3882

NPI assigned

Aug 27, 2019

Organization subpart

No

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

Authorized official

Name

Sarette A Zecharia, PHDNPI 1013387307

Title

Ceo

Phone

(480) 383-3882

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarette Zecharia, PHD

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1013387307
  Medicare reassignment Care Compare group NPD Authorized official
• Dennis J Burns, ED.D.

  • Psychologist
  • Tempe, AZ
  • NPI 1558406629
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1013565753",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "ZECHARIA",
        "authorized_official_first_name": "SARETTE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-383-3882",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifetree Inc.
• Janelle Liffiton, RN BSN
• Light Source Caregivers, LLC
• Lighthouse Center Inc.
• Lighthouse Counseling and Psychotherapy PLLC
• Tenesa Stokes Lightsey, FNP-C
• Robert David Ligorsky, D.O.
• Jordan Liles
• Sean T Lille, MD
• Joseph L Lillo, DO, FNLA, FAPCR

• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.