Individual provider Active NPI

Sharon Sy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1679975379
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7317 Issued in AZ
Practice address
3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone
(602) 353-0703
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7317 AZ Primary

Addresses

Primary practice location

3001 N 33Rd Ave
Phoenix, AZ 85017-5202

Mailing address

3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone (602) 353-0703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160517001934 AZ Practitioner - Nurse Practitioner 2264721000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family and Childrens ServiceGroup PAC ID 9234028671, 30 clinicians

Practice addresses (Care Compare)

3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone (602) 353-0703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children'S Service CurrentSince Apr 19, 2016 Accepting new patients
Jewish Family & Children'S Service CurrentSince Apr 19, 2016 Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients

Locations

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

1840 N 95th Ave
Ste 146
Phoenix, AZ 85037
Phone (623) 234-9811

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

1840 N 95th Ave
Ste 160
Phoenix, AZ 85037
Phone (623) 234-9811

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1679975379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175202",
            "telephone_number": "602-353-0703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175202",
            "telephone_number": "602-353-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SY",
        "first_name": "SHARON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.