Samia Psychiatry Iop PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAMIA PSYCHIATRY IOP PLLC

Practice address

1757 E Baseline Rd Ste 101-103
Gilbert, AZ 85233-1532

Phone

(806) 831-7159

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Meshack SamiaNPI 1760014047

Title

Owner

Phone

(806) 831-7159

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Meshack Samia, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
  • NPI 1760014047
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1265151807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 101-103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331532",
            "telephone_number": "806-831-7159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 E BASELINE RD STE 101-103",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331532",
            "telephone_number": "806-831-7159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMIA PSYCHIATRY IOP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SAMIA",
        "authorized_official_first_name": "MESHACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-831-7159"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS",
            "identifier": "OTC11880",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.