Active NPI
Svetlana Rose Songco Sembrano, MD
- Psychiatry Physician
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 47407
- Practice address
- 2833 N 3Rd St
Phoenix, AZ 85004-1003 - Phone
- (602) 234-3733
- NPI assigned
- Jun 16, 2008
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD.205173 | LA | |
| Psychiatry Physician | 2084P0800X | P5236 | TX | |
| Psychiatry Physician | 2084P0800X | M-13965 | ID | |
| Psychiatry Physician | 2084P0800X | 079301 | GA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | LA | ||
| Psychiatry Physician | 2084P0800X | 47407 | AZ | Primary |
Addresses
Primary practice location
2833 N 3Rd St
Phoenix, AZ 85004-1003
Mailing address
2211 E Camelback Rd Unit 309
Phoenix, AZ 85016-9048
Phone (832) 275-0162
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-13965 | ID | MD | Psychiatry Physician |
| MD.205173 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Basin Community Centers for Mental Health & Mental Retardation | Current | Accepting new patients | |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Psychiatry | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Family Medicine | Current | Accepting new patients |
| Texana Center | Current | Accepting new patients | |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Psychiatry | Current | Accepting new patients |
| Mayo Clinic Health System in Waycross, Inc. | Past | Accepting new patients |
Locations
805 N 5th St
Alpine, TX 79830
Phone (432) 837-3373
401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300
401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342
4910 Airport Ave
Ste D
Rosenberg, TX 77471
Phone (281) 239-1300
Interoperability endpoints
- svetlana.sembrano@hca5.eclinicaldirectplus.com
- svetlanasembrano@tdh.allscriptsdirect.net
Organizations & group practices 7
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Midland, TX
- NPI 1700976453
Psychiatry
-
- Case Management Agency
- Lytle, TX
- NPI 1154411262
-
- Counselor
- Midland, TX
- NPI 1649442310
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alpine, TX
- NPI 1851464119
Psychiatry
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Multi-Specialty Clinic/Center
- Rosenberg, TX
- NPI 1912954058
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516924800000",
"number": "1467612036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 E CAMELBACK RD UNIT 309",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850169048",
"telephone_number": "832-275-0162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2833 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041003",
"telephone_number": "602-234-3733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMBRANO",
"first_name": "SVETLANA ROSE",
"middle_name": "SONGCO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-16",
"last_updated": "2018-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "MD.205173",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "P5236",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ID",
"license": "M-13965",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "079301",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "LA",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "47407",
"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 26, 2018; 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.