NPIMap

Organization Active NPI

Ganesha Institute of Neurology and Psychiatry SC

  • Neurology Physician
  • Phoenix, AZ
National Provider Identifier
1134979644
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC
Practice address
9327 N 3Rd St Ste 200
Phoenix, AZ 85020-2473
Phone
(847) 816-6335
NPI assigned
Mar 26, 2024
Last updated
Jan 17, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Lori A Smith
Title
Office Manager
Phone
(847) 816-6441

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Neurology Physician 2084N0400X NU Primary
Psychiatry Physician 2084P0800X NU

Addresses

Primary practice location

9327 N 3Rd St Ste 200
Phoenix, AZ 85020-2473

Mailing address

PO Box 14545
Belfast, ME 04915-4038
Phone (847) 816-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240412002477 AZ Part B Supplier - Clinic/Group Practice 0042432296 Receives reassigned benefits from 8 practitioners
Practice locations: Chandler, AZ; Phoenix, AZ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Ganesha Institute of Neurology and Psychiatry SC

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1134979644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14545",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154038",
            "telephone_number": "847-816-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9327 N 3RD ST STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202473",
            "telephone_number": "847-816-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GANESHA INSTITUTE OF NEUROLOGY AND PSYCHIATRY SC",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-816-6441"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Jan 17, 2025; 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.