Individual provider Active NPI

John Vincent Scialli, MD

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1093819583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
13779 Issued in AZ
Practice address
4647 N 32ND St
Ste 260
Phoenix, AZ 85018-3344
Phone
(602) 224-9888
Fax
(602) 224-5304
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 13779 AZ Primary

Addresses

Primary practice location

4647 N 32ND St
Ste 260
Phoenix, AZ 85018-3344

Mailing address

4647 N 32ND St
Ste 260
Phoenix, AZ 85018-3344
Phone (602) 224-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
13779AZMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093819583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST",
            "address_2": "STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183344",
            "telephone_number": "602-224-9888",
            "fax_number": "602-224-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 N 32ND ST",
            "address_2": "STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183344",
            "telephone_number": "602-224-9888",
            "fax_number": "602-224-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIALLI",
        "first_name": "JOHN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.