Individual provider Active NPI

Sebastian Cambo Diaz, PSYD, LP

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1881146728
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005574 Issued in AZ
Practice address
7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593
Phone
(702) 805-5360
NPI assigned
Oct 26, 2016
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005574 AZ Primary
Clinical Psychologist 103TC0700X 5647 PR

Addresses

Primary practice location

7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593

Mailing address

7373 N Scottsdale Rd Ste A199
Scottsdale, AZ 85253-3593
Phone (702) 805-5360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240223004203 AZ Practitioner - Clinical Psychologist 7416370580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians

Practice addresses (Care Compare)

7373 N Scottsdale Rd
Suite A199
Scottsdale, AZ 85253-3593
Phone (702) 805-5360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005574AZMDClinical Psychologist
5647PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Jan 6, 2024 Accepting new patients
Psychology Specialists LTD Clinical PastSince Jan 29, 2023 Accepting new patients

Locations

2081 W Frye Rd
Ste 208
Chandler, AZ 85224
Phone (480) 524-0990

7373 N Scottsdale Rd
Ste A199
Scottsdale, AZ 85253
Phone (702) 805-5360

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1881146728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE A199",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533593",
            "telephone_number": "702-805-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 N SCOTTSDALE RD STE A199",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852533593",
            "telephone_number": "702-805-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMBO DIAZ",
        "first_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD, LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "005574",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.