Active NPI
Insight Psychiatry PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Sierra Vista, AZ
National Provider Identifier
1770168692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- INSIGHT PSYCHIATRY PLLC
- Practice address
- 25 El Camino Real Ste 4
Sierra Vista, AZ 85635-2800 - Phone
- (720) 694-9908
- NPI assigned
- Mar 11, 2021
- 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
- Laura Denise Mancuso, NP
- Title
- Owner
- Phone
- (520) 276-6326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
25 El Camino Real Ste 4
Sierra Vista, AZ 85635-2800
Mailing address
13855 E Beatty Ranch Rd
Sonoita, AZ 85637-6514
Phone (480) 798-1903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 361524 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@psychiatryaz.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Wasilla, AK
- NPI 1699184432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1615420800000",
"number": "1770168692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13855 E BEATTY RANCH RD",
"city": "SONOITA",
"state": "AZ",
"postal_code": "856376514",
"telephone_number": "480-798-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 EL CAMINO REAL STE 4",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352800",
"telephone_number": "720-694-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSIGHT PSYCHIATRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A",
"authorized_official_last_name": "MANCUSO",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-276-6326",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "361524",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@psychiatryaz.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "25 El Camino Real Ste 4",
"city": "Sierra Vista",
"state": "AZ",
"country_code": "US",
"postal_code": "856352800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.