Active NPI
Athanasia Sipsas-Herrmann, PH.D.
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1700909405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3754
- Practice address
- 7220 N 16TH St Ste I
Phoenix, AZ 85020-5253 - Phone
- (602) 824-8804
- Fax
- (602) 581-7181
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3754 | AZ | Primary |
Addresses
Primary practice location
7220 N 16TH St Ste I
Phoenix, AZ 85020-5253
Mailing address
7220 N 16TH St Ste I
Phoenix, AZ 85020-5253
Phone (602) 824-8804
Other names 1
- Dr. Athanasia Sipsas-Herrmann
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 |
|---|---|---|---|
| 3754 | AZ | MD | Critical Care Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1700909405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 N 16TH ST STE I",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205253",
"telephone_number": "602-824-8804",
"fax_number": "602-581-7181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7220 N 16TH ST STE I",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205253",
"telephone_number": "602-824-8804",
"fax_number": "602-581-7181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIPSAS-HERRMANN",
"first_name": "ATHANASIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "3754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ATHANASIA",
"last_name": "SIPSAS-HERRMANN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.