Sumaia Sulaiman Ebrahim, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

258437 Issued in AZ

Practice address

28211 N 70TH St
Scottsdale, AZ 85266-6502

Phone

(602) 330-7428

NPI assigned

Mar 4, 2024

Last updated

Nov 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tempe Psychiatry

  • Adult Mental Health Clinic/Center
  • Tempe, AZ
  • NPI 1023401965
  NPD

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1265299531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28211 N 70TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852666502",
            "telephone_number": "602-330-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28211 N 70TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852666502",
            "telephone_number": "602-330-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIM",
        "first_name": "SUMAIA",
        "middle_name": "SULAIMAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "258437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easy Mobile Labs, Inc.
• Eat, Talk & Play Therapy LLC
• Jennifer Lynne Ebertshauser, PA-C, MPH
• Ebh Southwest Services, Inc. (Promises Scottsdale)
• Ebh Southwest Services, Inc. (Promises Scottsdale)
• Ebs Arizona PLLC
• Echo Canyon Healthcare, Inc. (Heritage Court Post Acute of Scottsdale)
• Kayla McPherson Eckart, ND
• Dennis Eckel, M.D.
• Ruth Louise Eckert, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.