Active NPI
Siamak Safaeian, PHD, LISAC
- Addiction (Substance Use Disorder) Counselor
- Scottsdale, AZ
National Provider Identifier
1588834865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11819
- Practice address
- 12144 E Paradise Dr
Scottsdale, AZ 85259-3341 - Phone
- (480) 518-3389
- Fax
- (480) 664-6776
- NPI assigned
- Mar 3, 2008
- Last updated
- Mar 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11819 | AZ | Primary |
Addresses
Primary practice location
12144 E Paradise Dr
Scottsdale, AZ 85259-3341
Mailing address
12144 E Paradise Dr
Scottsdale, AZ 85259-3341
Phone (480) 518-3389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20763585 | 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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11819 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1588834865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12144 E PARADISE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593341",
"telephone_number": "480-518-3389",
"fax_number": "480-664-6776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12144 E PARADISE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593341",
"telephone_number": "480-518-3389",
"fax_number": "480-664-6776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAEIAN",
"first_name": "SIAMAK",
"credential": "PHD, LISAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "11819",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20763585",
"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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.