Organization Active NPI

Tempe Psychiatry

  • Adult Mental Health Clinic/Center
  • Tempe, AZ
National Provider Identifier
1023401965
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TEMPE PSYCHIATRY
Practice address
455 S 48TH St Ste 109
Tempe, AZ 85281-2302
Phone
(480) 945-2558
Fax
(480) 945-2354
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Authorized official

Name
Ms. Ekram Ebrahim
Title
Owner/Manager
Phone
(480) 945-2558

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

455 S 48TH St Ste 109
Tempe, AZ 85281-2302

Mailing address

455 S 48TH St Ste 109
Tempe, AZ 85281-2302
Phone (480) 945-2558

Other names 1

  • Tempe Psychiatry Gen Ptr Other name

National Provider Directory

National Provider Directory

Locations

455 S 48th St
Ste 109
Tempe, AZ 85281
Phone (480) 945-2558

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1023401965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S 48TH ST STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812302",
            "telephone_number": "480-945-2558",
            "fax_number": "480-945-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 48TH ST STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812302",
            "telephone_number": "480-945-2558",
            "fax_number": "480-945-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "EBRAHIM",
        "authorized_official_first_name": "EKRAM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-945-2558",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tempe Psychiatry Gen Ptr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.