Active NPI
Geriatric Psychiatry Services LLC
- Multi-Specialty Clinic/Center
- Prescott, AZ
National Provider Identifier
1669003067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- GERIATRIC PSYCHIATRY SERVICES LLC
- Doing business as
- Sana Physicians Group
- Practice address
- 181 Whipple St
Prescott, AZ 86301-1705 - Phone
- (928) 277-3424
- NPI assigned
- Feb 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard A. Carter
- Title
- Admiistrator
- Phone
- (928) 277-3424
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
181 Whipple St
Prescott, AZ 86301-1705
Mailing address
185 S State St Ste 1300
Salt Lake City, UT 84111-1537
Phone (801) 589-4033
Other names 1
- Sana Physicians Group
National Provider Directory
National Provider DirectoryLocations
185 S Street St
Ste 1300
Salt Lake City, UT 84111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580774400000",
"number": "1669003067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 S STATE ST STE 1300",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841111537",
"telephone_number": "801-589-4033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 WHIPPLE ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011705",
"telephone_number": "928-277-3424"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERIATRIC PSYCHIATRY SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "ADMIISTRATOR",
"authorized_official_telephone_number": "928-277-3424"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sana Physicians Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.