Active NPI
Sanctuary Treatment Center PLLC
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1558087916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SANCTUARY TREATMENT CENTER PLLC
- Practice address
- 10752 N 89TH PL Ste C230
Scottsdale, AZ 85260-6730 - Phone
- (602) 768-6704
- Fax
- (325) 289-6197
- NPI assigned
- Oct 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jun Zhong, MD
- Title
- Owner
- Phone
- (602) 768-6704
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
10752 N 89TH PL Ste C230
Scottsdale, AZ 85260-6730
Mailing address
9375 E Shea Blvd Ste 276
Scottsdale, AZ 85260-6991
Phone (602) 768-6704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240617000939 | AZ | Part B Supplier - Clinic/Group Practice | 5496298697 |
Receives reassigned benefits from 6 practitioners Practice locations: Scottsdale, AZ |
National Provider Directory
National Provider DirectoryLocations
9375 E Shea Blvd
Ste 276
Scottsdale, AZ 85260
10752 N 89th Pl
Ste C230
Scottsdale, AZ 85260
Phone (480) 256-1680
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1609767284
AZ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1558087916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9375 E SHEA BLVD STE 276",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606991",
"telephone_number": "602-768-6704",
"fax_number": "325-289-6197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10752 N 89TH PL STE C230",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852606730",
"telephone_number": "602-768-6704",
"fax_number": "325-289-6197"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANCTUARY TREATMENT CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-18",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A",
"authorized_official_last_name": "ZHONG",
"authorized_official_first_name": "JUN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-768-6704",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.