Individual provider Active NPI

John Pisacano, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • Sun City, AZ
National Provider Identifier
1326345349
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4247946 Issued in AZ
Practice address
11021 W Acacia Dr
Sun City, AZ 85373-1505
Phone
(623) 760-7793
NPI assigned
Feb 28, 2011
Last updated
Feb 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4247946 AZ Primary

Addresses

Primary practice location

11021 W Acacia Dr
Sun City, AZ 85373-1505

Mailing address

11021 W Acacia Dr
Sun City, AZ 85373-1505
Phone (623) 760-7793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4247946AZMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1326345349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11021 W ACACIA DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731505",
            "telephone_number": "623-760-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11021 W ACACIA DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731505",
            "telephone_number": "623-760-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISACANO",
        "first_name": "JOHN",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4247946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2011; 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.