Individual provider Active NPI

Svetlana Rose Songco Sembrano, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1467612036
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
47407 Issued in AZ
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

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130626000104 TX Practitioner - PsychiatryPractitioner - Other (Physician) 8628217502 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M-13965IDMDPsychiatry Physician
MD.205173LAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jun 1, 2019 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Psychiatry CurrentSince Jun 1, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
Texana Center CurrentSince Jul 18, 2014 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

  • Direct secure messaging: svetlana.sembrano@hca5.eclinicaldirectplus.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.