Active NPI
Suzanne Arlene Sisley, M.D.
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1497868194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24426
- Practice address
- 12622 N 81St St
Scottsdale, AZ 85260-5232 - Phone
- (480) 922-9015
- Fax
- (602) 827-2118
- NPI assigned
- Aug 16, 2006
- Last updated
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24426 | AZ | |
| Psychiatry Physician | 2084P0800X | 24426 | AZ | Primary |
Addresses
Primary practice location
12622 N 81St St
Scottsdale, AZ 85260-5232
Mailing address
12622 N 81St St
Scottsdale, AZ 85260-5232
Phone (480) 922-9015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490368 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
-
dba ValueOptions Laboratory Services
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1497868194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12622 N 81ST ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605232",
"telephone_number": "480-922-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12622 N 81ST ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852605232",
"telephone_number": "480-922-9015",
"fax_number": "602-827-2118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISLEY",
"first_name": "SUZANNE",
"middle_name": "ARLENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "24426",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "24426",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490368",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.