NPIMap

Organization Active NPI

Faspsych, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Scottsdale, AZ
National Provider Identifier
1831682111
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FASPSYCH, LLC
Practice address
8687 E Via de Ventura Ste 310
Scottsdale, AZ 85258-3351
Phone
(480) 970-9097
Fax
(480) 970-5318
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

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

Authorized official

Name
Cynthia Handy
Title
Director of Revenue Cycle MGMT
Phone
(480) 269-9248

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

8687 E Via de Ventura Ste 310
Scottsdale, AZ 85258-3351

Mailing address

8687 E Via de Ventura Ste 310
Scottsdale, AZ 85258-3351
Phone (480) 970-9097

Other practice location 1

1400 16th St Ste 400
Denver, CO 80202-5995
Phone (877) 216-9880

Other practice location 2

1435 Vine St
Cincinnati, OH 45202-7094
Phone (877) 216-9880

Other practice location 3

1400 16th St Ste 400
Denver, CO 80202-5995
Phone (877) 216-9880

Other identifiers 5

IdentifierTypeStateIssuer
7100691170MedicaidKY
1831682111MedicaidNC
300041510MedicaidIN
Q051954MedicaidTN
008018MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20201016001019 TN Part B Supplier - Clinic/Group Practice 2860818929 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, TN
O20201216000090 MA Part B Supplier - Clinic/Group Practice 2860818929 Receives reassigned benefits from 4 practitioners
Practice locations: Andover, MA

National Provider Directory

National Provider Directory

Locations

8687 E Via de Ventura
Ste 310
Scottsdale, AZ 85258
Phone (480) 269-9248

15310 Amberly Dr
Tampa, FL 33647
Phone (323) 315-0491

110 N Wacker Dr
Chicago, IL 60606

9850 Von Allmen Ct
Ste 201
Louisville, KY 40241
Phone (480) 269-9248

5900 Coliseum Blvd
Alexandria, LA 71303
Phone (318) 386-8110

3200 Greenfield Rd
Dearborn, MI 48120
Phone (313) 409-0846

4625 Lindell Blvd
Saint Louis, MO 63108
Phone (480) 269-9248

2111 S 67th St
Omaha, NE 68106
Phone (402) 356-6706

4000 Faber Place Dr
North Charleston, SC 29405
Phone (609) 751-1158

1704 Westland Rd
Cheyenne, WY 82001
Phone (307) 222-2400

Practitioners & affiliated clinicians

Practitioners 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617926400000",
    "number": "1831682111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583351",
            "telephone_number": "480-970-9097",
            "fax_number": "480-970-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 E VIA DE VENTURA STE 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583351",
            "telephone_number": "480-970-9097",
            "fax_number": "480-970-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 16th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025995",
            "country_code": "US",
            "telephone_number": "877-216-9880",
            "fax_number": "480-970-5318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 Vine St",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452027094",
            "country_code": "US",
            "telephone_number": "877-216-9880",
            "fax_number": "480-970-5318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 16th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802025995",
            "country_code": "US",
            "telephone_number": "877-216-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FASPSYCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HANDY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE MGMT",
        "authorized_official_telephone_number": "480-269-9248"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100691170",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831682111",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300041510",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q051954",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008018",
            "state": "AZ"
        }
    ],
    "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 Apr 9, 2021; 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.