Individual provider Active NPI

Ahmad Zafar Sadek, PSY.D.

  • Psychologist
  • Mesa, AZ
National Provider Identifier
1578163200
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY61117678 Issued in WA
Practice address
1362 S Vineyard
Mesa, AZ 85210-8933
Phone
(480) 719-0812
NPI assigned
Oct 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-005320 AZ
Psychologist 103T00000X PY61117678 WA Primary

Addresses

Primary practice location

1362 S Vineyard
Mesa, AZ 85210-8933

Mailing address

1362 S Vineyard Apt 1067
Mesa, AZ 85210-8945
Phone (480) 719-0812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240913000489 AZ Practitioner - Clinical Psychologist 0446790737 Reassigns benefits to 1 organization
Practice locations: Mesa, AZ
I20250221003603 WA Practitioner - Clinical Psychologist 0446790737 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-005320AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Orion Developers, LLC Clinical CurrentSince Jan 13, 2025 Accepting new patients
Orion Consultants LLC Clinical Past Accepting new patients

Locations

6625 S Rural Rd
Ste 111
Tempe, AZ 85283
Phone (480) 253-9547

2265 116th Ave NE
Ste 110
Bellevue, WA 98004
Phone (425) 587-6100

101 E 8th St
Ste 110
Vancouver, WA 98660
Phone (253) 349-8292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1578163200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1362 S VINEYARD APT 1067",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108945",
            "telephone_number": "480-719-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 S VINEYARD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108933",
            "telephone_number": "480-719-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADEK",
        "first_name": "AHMAD",
        "middle_name": "ZAFAR",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005320",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61117678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.