Individual provider Active NPI

Jodi Ann Sciandra, PSY.D.

  • Clinical Psychologist
  • Gilbert, AZ
National Provider Identifier
1487871034
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3313 Issued in AZ
Practice address
1920 N Higley Rd
Suite 106
Gilbert, AZ 85234-1623
Phone
(480) 543-2688
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3313 AZ Primary

Addresses

Primary practice location

1920 N Higley Rd
Suite 106
Gilbert, AZ 85234-1623

Mailing address

1441 N 12TH St
Phoenix, AZ 85006-2837
Phone (480) 684-5041

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000346 AZ Practitioner - Clinical Psychologist 3779681341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Physician Specialists Arizona LLCGroup PAC ID 6204002272, 371 clinicians

Practice addresses (Care Compare)

37100 N Gantzel Rd
Suite 201
San Tan Valley, AZ 85140-7352
Phone (480) 394-4469

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Nov 1, 2012 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2014 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Nov 1, 2012 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2013 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Jul 1, 2014 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2013 Accepting new patients
Banner Heart Hospital Past Accepting new patients
Banner Behavioral Health - East Valley Past Accepting new patients
Banner Psychological Services Past Accepting new patients

Locations

1920 N Higley Rd
Ste 206
Gilbert, AZ 85234
Phone (480) 543-6700

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

1920 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (480) 543-2688

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

9165 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 285-1120

4720 E Greenway Rd
Phoenix, AZ 85032
Phone (602) 439-6000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

1441 N 12th St
Phoenix, AZ 85006
Phone (602) 495-4577

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

10401 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 815-7690

Organizations & group practices 11

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1487871034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837",
            "telephone_number": "480-684-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 N HIGLEY RD",
            "address_2": "SUITE 106",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852341623",
            "telephone_number": "480-543-2688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIANDRA",
        "first_name": "JODI",
        "middle_name": "ANN",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.