Organization Active NPI

Arizona Advanced Health Services LLC

  • Geriatric Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1700170271
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
ARIZONA ADVANCED HEALTH SERVICES LLC
Practice address
10770 E Becker LN
Scottsdale, AZ 85259-3868
Phone
(731) 499-0888
Fax
(480) 659-0714
NPI assigned
Jun 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Mohamad Karami-Sichani, MD
Title
Owner
Phone
(731) 499-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

10770 E Becker LN
Scottsdale, AZ 85259-3868

Mailing address

PO Box 18987
Fountain Hills, AZ 85269-8987
Phone (731) 499-0888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110711000609 AZ Part B Supplier - Clinic/Group Practice 5597943886 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ; Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

8952 E Desert Cove Ave
Ste 209
Scottsdale, AZ 85260
Phone (480) 993-3710

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1700170271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18987",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852698987",
            "telephone_number": "731-499-0888",
            "fax_number": "480-659-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10770 E BECKER LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852593868",
            "telephone_number": "731-499-0888",
            "fax_number": "480-659-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA ADVANCED HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "KARAMI-SICHANI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-499-0888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.