Individual provider Active NPI

Mohammad Reza Karami-Sichani, MD

  • Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1568660660
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
28437 Issued in TN
Practice address
10770 East Becker Lane
Scottsdale, AZ 85269
Phone
(480) 659-0888
Fax
(480) 659-0714
NPI assigned
Jul 10, 2007
Last updated
Jun 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 28437 TN Primary
Prescribing (Medical) Psychologist 103TP0016X 31022 AZ

Addresses

Primary practice location

10770 East Becker Lane
Scottsdale, AZ 85269

Mailing address

10770 East Becker Lane
Scottsdale, AZ 85259
Phone (731) 499-0888

Other identifiers 2

IdentifierTypeStateIssuer
3724757MedicaidTN
610162MedicaidAZ

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110711000614 AZ Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 6901794379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8952 E Desert Cove Ave
Suite 209
Scottsdale, AZ 85260-6776
Phone (480) 993-3710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31022AZMDPrescribing (Medical) Psychologist
28437TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Advanced Health Services LLC CurrentSince May 1, 2011 Accepting new patients
Healthcare Management, Inc Past Accepting new patients
Phoenix Oasis Recovery Homes Inc. Past Accepting new patients
Carey Counseling Center, Inc. PastSince Mar 1, 2012 Accepting new patients

Locations

2058 S Dobson Rd
Ste 2
Mesa, AZ 85202
Phone (480) 838-1914

2222 S Dobson Rd
Ste 300
Mesa, AZ 85202
Phone (314) 488-6207

8952 E Desert Cove Ave
Ste 209
Scottsdale, AZ 85260
Phone (480) 993-3710

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1568660660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 EAST BECKER LANE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85259",
            "telephone_number": "731-499-0888",
            "fax_number": "480-659-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 EAST BECKER LANE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85269",
            "telephone_number": "480-659-0888",
            "fax_number": "480-659-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAMI-SICHANI",
        "first_name": "MOHAMMAD",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "28437",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "AZ",
            "license": "31022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3724757",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "610162",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.