Active NPI
Sally Ann Alexander, DNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP7318
- Practice address
- 11022 S 51St St Ste 250
Phoenix, AZ 85044-4319 - Phone
- (928) 426-0000
- Fax
- (833) 989-0980
- NPI assigned
- Oct 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP7318 | AZ | Primary |
Addresses
Primary practice location
11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Mailing address
11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Phone (928) 426-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150325001408 | AZ | Practitioner - Nurse Practitioner | 8224354709 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
4425 E Agave Rd
Suite 106
Phoenix, AZ 85044-0620
Phone (928) 426-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7318 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Children'S Service | Current | Accepting new patients | |
| Jewish Family & Children'S Service | Current | Accepting new patients | |
| Mind Over Matter Mental Health, PLLC | Current | Accepting new patients |
Locations
4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655
2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314
11011 S 48th St
Ste 200
Phoenix, AZ 85044
Phone (480) 557-5710
11022 S 51st St
Ste 250
Phoenix, AZ 85044
Phone (480) 939-6137
4425 E Agave Rd
Ste 106
Phoenix, AZ 85044
Phone (480) 363-7431
Interoperability endpoints
- sally.alexander.1@22600.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1609939214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1417352196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11022 S 51ST ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444319",
"telephone_number": "928-426-0000",
"fax_number": "833-989-0980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11022 S 51ST ST STE 250",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850444319",
"telephone_number": "928-426-0000",
"fax_number": "833-989-0980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SALLY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-24",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP7318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.