Organization Active NPI

Sun Ridge Psychotherapy LC

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1164044897
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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

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

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 Directory

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

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.

Verify at the official NPI Registry.