Active NPI
Beat E Bisenz, PHD
- Psychologist
- Sun City, AZ
National Provider Identifier
1871544056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3735
- Practice address
- 13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3028 - Phone
- (623) 875-6570
- Fax
- (623) 972-0049
- NPI assigned
- May 13, 2006
- Last updated
- Mar 31, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3735 | AZ | Primary |
Addresses
Primary practice location
13203 N 103Rd Ave
Suite H5
Sun City, AZ 85351-3028
Mailing address
PO Box 53568
Phoenix, AZ 85072-3568
Phone (623) 544-5070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040394 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3735 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Valley Psychiatric Associates | Past | Accepting new patients | |
| Banner Sun City Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Sun City, AZ
- NPI 1902067200
-
dba Human Development Centre
- Psychiatry Physician
- Sun City West, AZ
- NPI 1881641215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269993600000",
"number": "1871544056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 53568",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850723568",
"telephone_number": "623-544-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13203 N 103RD AVE",
"address_2": "SUITE H5",
"city": "SUN CITY",
"state": "AZ",
"postal_code": "853513028",
"telephone_number": "623-875-6570",
"fax_number": "623-972-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISENZ",
"first_name": "BEAT",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2010-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3735",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "040394",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.