Individual provider Active NPI

Sean Conway McDevitt, PHD

  • Clinical Child & Adolescent Psychologist
  • Phoenix, AZ
National Provider Identifier
1942221858
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
842 Issued in AZ
Practice address
7330 North 16TH Street
A120
Phoenix, AZ 85020
Phone
(602) 997-6635
Fax
(602) 997-6642
NPI assigned
Jul 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 842 AZ Primary

Addresses

Primary practice location

7330 North 16TH Street
A120
Phoenix, AZ 85020

Mailing address

7330 North 16TH Street
A120
Phoenix, AZ 85020
Phone (602) 997-6635

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
I20111209000089 AZ Practitioner - Clinical Psychologist 2769657337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arizona Behavioral HealthGroup PAC ID 6305825274, 3 clinicians

Practice addresses (Care Compare)

7330 N 16TH St
120 Arizona Behavioral Health Specialists L
Phoenix, AZ 85020-8201
Phone (602) 997-6635

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Behavioral Health CurrentSince Dec 10, 2014 Accepting new patients

Locations

7330 N 16th St
Ste A120
Phoenix, AZ 85020
Phone (480) 699-6968

10000 N 31st Ave
Ste D201
Phoenix, AZ 85051
Phone (602) 843-0035

10000 N 31st Ave
Ste C202
Phoenix, AZ 85051
Phone (602) 296-7721

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1942221858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 NORTH 16TH STREET",
            "address_2": "A120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-6635",
            "fax_number": "602-997-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 NORTH 16TH STREET",
            "address_2": "A120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-997-6635",
            "fax_number": "602-997-6642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "SEAN",
        "middle_name": "CONWAY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.