NPIMap

Organization Active NPI

Sycamore Integrated Health LLC

  • Adult Day Care Clinic/Center
  • Mesa, AZ
National Provider Identifier
1205426053
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
SYCAMORE INTEGRATED HEALTH LLC
Practice address
1350 E McKellips Rd Ste 5
Mesa, AZ 85203-2739
Phone
(480) 833-1440
NPI assigned
Jan 25, 2021
Last updated
Jul 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Imma Nzomo, APRNNPI 1629559976
Title
Administrator
Phone
(480) 608-4877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Adult Day Care Clinic/Center 261QA0600X Primary
Adult Mental Health Clinic/Center 261QM0850X
Primary Care Clinic/Center 261QP2300X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

1350 E McKellips Rd Ste 5
Mesa, AZ 85203-2739

Mailing address

3546 E Windmere Dr
Phoenix, AZ 85048-7211

Other practice location 1

1921 S Alma School Rd Ste 312
Mesa, AZ 85210-3039
Phone (480) 608-4877

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address info@foothillspsychservices.com Foothills Psychiatric Services PLLC
Direct Messaging Address info@foothillspsychservices.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: info@foothillspsychservices.com

Practitioners & affiliated clinicians

Practitioners 5

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": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1205426053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 E WINDMERE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 E MCKELLIPS RD STE 5",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032739",
            "telephone_number": "480-833-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1921 S Alma School Rd Ste 312",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852103039",
            "country_code": "US",
            "telephone_number": "480-608-4877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYCAMORE INTEGRATED HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "NZOMO",
        "authorized_official_first_name": "IMMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-608-4877",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@foothillspsychservices.com",
            "affiliation": "Y",
            "affiliationName": "Foothills Psychiatric Services PLLC",
            "address_1": "3546 E Windmere Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850487211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@foothillspsychservices.com",
            "affiliation": "N",
            "address_1": "1350 E McKellips Rd Ste 5",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852032739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.