Organization Active NPI

Timothy Sapp MD PLLC

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1902106404
Registry record updated Feb 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
30780 Issued in AZ
Legal business name
TIMOTHY SAPP MD PLLC
Practice address
1130 E Missouri Ave
Suite 206
Phoenix, AZ 85014-2718
Phone
(602) 368-4398
Fax
(602) 368-4482
NPI assigned
Oct 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2012

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

Authorized official

Name
Timothy Sapp, MD
Title
Owner
Phone
(602) 460-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 30780 AZ Primary

Addresses

Primary practice location

1130 E Missouri Ave
Suite 206
Phoenix, AZ 85014-2718

Mailing address

1130 E Missouri Ave
Suite 206
Phoenix, AZ 85014-2718
Phone (602) 368-4398

National Provider Directory

National Provider Directory

Locations

1130 E Missouri Ave
Ste 206
Phoenix, AZ 85014
Phone (602) 368-4398

NPI Registry JSON

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

{
    "created_epoch": "1288396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1902106404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-368-4398",
            "fax_number": "602-368-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "address_2": "SUITE 206",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-368-4398",
            "fax_number": "602-368-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY SAPP MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-30",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-460-1294",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "30780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.