Individual provider Active NPI

Myron Sawyer

  • Community/Behavioral Health Agency
  • Phoenix, AZ
National Provider Identifier
1740973718
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
OTC11755 Issued in AZ
Practice address
3101 N Central Ave Ste 840D
Phoenix, AZ 85012-2625
Phone
(480) 371-7853
Fax
(602) 801-3414
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OTC11755 AZ Primary

Addresses

Primary practice location

3101 N Central Ave Ste 840D
Phoenix, AZ 85012-2625

Mailing address

3101 N Central Ave Ste 840D
Phoenix, AZ 85012-2625
Phone (480) 371-7853

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

State licenses

LicenseStateTypeSpecialty
OTC11755AZMDCommunity/Behavioral Health Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Youth and Family Services LLC Community/Behavioral Health CurrentSince May 26, 2024 Accepting new patients

Locations

3101 N Central Ave
Ste 840D
Phoenix, AZ 85012
Phone (480) 371-7853

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1740973718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 840D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122625",
            "telephone_number": "480-371-7853",
            "fax_number": "602-801-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 840D",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122625",
            "telephone_number": "480-371-7853",
            "fax_number": "602-801-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "MYRON",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "OTC11755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.