NPIMap

Organization Active NPI

Psychiatry and Counseling

  • Community/Behavioral Health Agency
  • Tempe, AZ
National Provider Identifier
1205018900
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCHIATRY AND COUNSELING
Practice address
1050 E Southern Ave
G 1
Tempe, AZ 85282-5403
Phone
(480) 966-1485
Fax
(480) 968-5020
NPI assigned
Dec 4, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sardev S Sidhu, M.D.
Title
Psychiatrist
Phone
(480) 966-1485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X AZ Primary

Addresses

Primary practice location

1050 E Southern Ave
G 1
Tempe, AZ 85282-5403

Mailing address

PO Box 23687
Tempe, AZ 85285-3687
Phone (480) 966-1485

Other identifiers 1

IdentifierTypeStateIssuer
AZ07364OtherAZSUBMITTER ID

Other names 1

  • AZ PSYCHIATRY AND COUNSELING Former legal business name

National Provider Directory

National Provider Directory

Locations

1050 E Southern Ave
Ste G1
Tempe, AZ 85282
Phone (480) 966-1174

Practitioners & affiliated clinicians

Practitioners 2

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205018900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23687",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852853687",
            "telephone_number": "480-966-1485",
            "fax_number": "480-968-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E SOUTHERN AVE",
            "address_2": "G 1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825403",
            "telephone_number": "480-966-1485",
            "fax_number": "480-968-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SIDHU",
        "authorized_official_first_name": "SARDEV",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "480-966-1485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "AZ07364",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AZ PSYCHIATRY AND COUNSELING",
            "code": "4",
            "type": "Former Legal Business 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 Jul 21, 2022; 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.