Active NPI
Sein Gwon, APNP
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP10164
- Practice address
- 2695 N Craycroft Rd
Tucson, AZ 85712-2243 - Phone
- (520) 322-2888
- NPI assigned
- Jun 13, 2017
- Last updated
- Jul 21, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10164 | AZ | Primary |
Addresses
Primary practice location
2695 N Craycroft Rd
Tucson, AZ 85712-2243
Mailing address
2715 N 3Rd St
Phoenix, AZ 85004-1106
Phone (602) 264-4331
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1201 S 7TH Ave
Suite 150
Phoenix, AZ 85007-4075
Phone (602) 253-5100
1424 S 7TH Ave
BLDG C
Phoenix, AZ 85007-3902
Phone (602) 258-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Behavioral Health Services, Inc. | Current | Accepting new patients | |
| Connectionsaz, LLC | Single Specialty | Current | Accepting new patients |
| Southwest Behavioral Health Services Inc | Single Specialty | Current | Accepting new patients |
| Lifewell Behavioral Wellness | Single Specialty | Current | Accepting new patients |
| Connectionspa LLC | Single Specialty | Current | Accepting new patients |
| Connectionsaz, LLC | Current | Accepting new patients | |
| Aimsmedaz LLC | Single Specialty | Past | Accepting new patients |
Locations
6915 E Main St
Ste 200
Mesa, AZ 85207
404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024
1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100
1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007
1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647
1424 S 7th Ave
Bldg C
Phoenix, AZ 85007
Phone (602) 258-3600
202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404
2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115
2715 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-4331
3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339
3540 E Baseline Rd
Ste 150
Phoenix, AZ 85042
Phone (480) 739-5784
7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088
7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088
1100 S Cameron St
Ste 2
Harrisburg, PA 17104
Phone (717) 408-1353
Interoperability endpoints
- sein.gwon.p1@direct.lifewell.nextgenshare.com
- sein.gwon@mmconnections.contexture.medalliesmail.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1144384389
Single Specialty
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
Single Specialty
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1972985547
-
- Psychiatric Residential Treatment Facility
- Kingman, AZ
- NPI 1023556339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1568992519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041106",
"telephone_number": "602-264-4331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2695 N CRAYCROFT RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122243",
"telephone_number": "520-322-2888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWON",
"first_name": "SEIN",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "AP10164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.