Active NPI
Sun Ridge Psychotherapy LC
- Adult Mental Health Clinic/Center
- Tucson, AZ
National Provider Identifier
1164044897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SUN RIDGE PSYCHOTHERAPY LC
- Practice address
- 2948 E 8TH St
Tucson, AZ 85716-5248 - Phone
- (520) 261-9556
- NPI assigned
- May 15, 2020
- Last updated
- Sep 15, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Jane Jones, LCSW
- Title
- Clinical Director
- Phone
- (520) 261-9556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
2948 E 8TH St
Tucson, AZ 85716-5248
Mailing address
11001 E Roger Rd
Tucson, AZ 85749-8563
Phone (707) 495-4236
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Alpine, CA
- NPI 1699158972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600128000000",
"number": "1164044897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11001 E ROGER RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857498563",
"telephone_number": "707-495-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2948 E 8TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165248",
"telephone_number": "520-261-9556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN RIDGE PSYCHOTHERAPY LC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-15",
"last_updated": "2020-09-15",
"certification_date": "2020-09-15",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "520-261-9556",
"authorized_official_credential": "LCSW"
},
"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": []
}
Other providers in Tucson, AZ
- Christina Summy, PHARMD
- Chelsea Cornelia Sumner, NP
- Robert Sumner, MD
- Sun Path Wholeness LLC (Sun Path Wholeness)
- Sun Peak Healthcare LLC (Sacred Heart Home Health Care)
- Sun State Scooter Mobility, LLC (Sun State Scooter Mobility)
- Belinda Liu Sun, M.D.
- Guangzhe Sun, MD
- Xia Sun
- Sunbelt Medical Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.