Organization Active NPI

Desert Spirit Psychology

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1295404192
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DESERT SPIRIT PSYCHOLOGY
Practice address
10401 E McDowell Mountain Ranch Rd Ste 130
Scottsdale, AZ 85255-7525
Phone
(714) 679-6565
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Shiva Sobhanian
Title
Owner
Phone
(714) 679-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

10401 E McDowell Mountain Ranch Rd Ste 130
Scottsdale, AZ 85255-7525

Mailing address

10115 E Mountain View Rd Unit 1084
Scottsdale, AZ 85258-6315
Phone (714) 679-6565

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1295404192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 E MOUNTAIN VIEW RD UNIT 1084",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586315",
            "telephone_number": "714-679-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 E MCDOWELL MOUNTAIN RANCH RD STE 130",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852557525",
            "telephone_number": "714-679-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SPIRIT PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "SOBHANIAN",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-679-6565"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.