Individual provider Active NPI

Sara M Salek, M.D.

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1659305316
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
37180 Issued in AZ
Practice address
801 E Jefferson St
Phoenix, AZ 85034-2217
Phone
(480) 684-4171
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 224478 MA
Child & Adolescent Psychiatry Physician 2084P0804X 37180 AZ Primary

Addresses

Primary practice location

801 E Jefferson St
Phoenix, AZ 85034-2217

Mailing address

801 E Jefferson St
Phoenix, AZ 85034-2217
Phone (480) 684-4171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070806000116 AZ Practitioner - Psychiatry 7113018177 Reassigns benefits to 1 organization
I20251030000277 NM Practitioner - Psychiatry 7113018177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Arizona College of Medicine, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 E Main St
Suite 104
Mesa, AZ 85203-8950

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224478MAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Health, LLC Psychiatry CurrentSince Jan 21, 2025 Accepting new patients
Roya Health, LLC Psychiatry CurrentSince Jan 21, 2025 Accepting new patients
Banner -- University Medical Center Phoenix Campus Behavioral Health Past Accepting new patients
Partners in Recovery, LLC PastSince Apr 1, 2024 Accepting new patients
Partners in Recovery, LLC PastSince Sep 5, 2023 Accepting new patients

Locations

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

1345 E Main St
Mesa, AZ 85203
Phone (480) 223-0290

825 W Southern Ave
Phoenix, AZ 85041
Phone (480) 300-4741

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

4317 Lead Ave SE
Albuquerque, NM 87108
Phone (602) 341-3473

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1659305316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342217",
            "telephone_number": "480-684-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E JEFFERSON ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342217",
            "telephone_number": "480-684-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEK",
        "first_name": "SARA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "224478",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "37180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.