Sunrise Psychiatry PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SUNRISE PSYCHIATRY PLLC

Practice address

1520 S Dobson Rd Ste 213a
Mesa, AZ 85202-4767

Phone

(480) 382-6982

NPI assigned

Jul 28, 2023

Organization subpart

No

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

Authorized official

Name

Tallan DepriestNPI 1548794399

Title

Director

Phone

(480) 382-6982

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

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

• Tallan Depriest

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1548794399
  Medicare reassignment Care Compare group NPD Authorized official
• Katlyn Danielle Greathouse, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
  • NPI 1750137246
  Medicare reassignment Care Compare group NPD
• Devin R Southworth, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chandler, AZ
  • NPI 1689244022
  NPD (past)

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1790466035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 213A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD STE 213A",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024767",
            "telephone_number": "480-382-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "DEPRIEST",
        "authorized_official_first_name": "TALLAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-382-6982"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunset Mesa Senior Living LLC
• Sunset Sports Medicine, LLC

• Psychiatry Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.