Adiza Jumaih Sulley, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

48982 Issued in AZ

Practice address

3640 W Osborn Rd
Suite 1
Phoenix, AZ 85019-4006

Phone

(602) 269-5300

Fax

(602) 269-5380

NPI assigned

Jun 24, 2010

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

Other names 1

• Adiza Jumaih Mohammed Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Iyali Mental Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1801645007
  Medicare reassignment NPD
• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1902472467
  Medicare reassignment NPD
• Harmonious Mind PLLC

  • Psychiatry Physician
  • Queen Creek, AZ
  • NPI 1295558906
  NPD Authorized official
• Mind 247 Practice LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1487316386
  NPD
• Mind 247 Practice LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1659089951
  NPD

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1427369420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 W OSBORN RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850194006",
            "telephone_number": "602-269-5300",
            "fax_number": "602-269-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 W OSBORN RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850194006",
            "telephone_number": "602-269-5300",
            "fax_number": "602-269-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLEY",
        "first_name": "ADIZA",
        "middle_name": "JUMAIH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "48982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADIZA",
            "last_name": "MOHAMMED",
            "middle_name": "JUMAIH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Suleymanova, MSN-PH, APRN, FNP-C
• Mohammed Elshiekh Eljack Suliman, M.D
• Lazar B Sulimanov
• Anthony Kash Sullenger, O.D.
• Morgan Bailey Sullens, ATC
• Himani R Sullhan, CPNP
• Vonecia Sullivan-Hill, LPC
• Aneesha Hanan Bakir Sullivan, PA-C
• Bradley Roy Sullivan
• Cindy M Sullivan, NP

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.