Organization Active NPI

Medpsychplus LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1295535342
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MEDPSYCHPLUS LLC
Practice address
210 W Continental Rd Ste 120
Green Valley, AZ 85622-3546
Phone
(520) 812-6200
Fax
(833) 672-2775
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Authorized official

Name
Dr. John Sparks, DNPNPI 1891342424
Title
Member
Phone
(520) 812-6200

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

210 W Continental Rd Ste 120
Green Valley, AZ 85622-3546

Mailing address

210 W Continental Rd Ste 120
Green Valley, AZ 85622-3546
Phone (520) 812-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251223002622 AZ Part B Supplier - Clinic/Group Practice 2567957970 Receives reassigned benefits from 2 practitioners
Practice locations: Green Valley, AZ

National Provider Directory

National Provider Directory

Locations

210 W Continental Rd
Ste 246A
Green Valley, AZ 85622
Phone (520) 812-6200

210 W Continental Rd
Ste 120
Green Valley, AZ 85622
Phone (520) 812-6200

Practitioners & affiliated clinicians

Practitioners 2

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": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788652800000",
    "number": "1295535342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-812-6200",
            "fax_number": "833-672-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 120",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-812-6200",
            "fax_number": "833-672-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPSYCHPLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-812-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.