Organization Active NPI

Shosamana

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942403076
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN045016AP0033 Issued in AZ
Legal business name
SHOSAMANA
Practice address
3740 E Southern Ave Ste 207
Mesa, AZ 85206-2512
Phone
(480) 325-0313
Fax
(480) 324-0631
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Gail Sylvia Ziv, PSY MHNP
Title
President
Phone
(480) 325-0313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN045016AP0033 AZ Primary

Addresses

Primary practice location

3740 E Southern Ave Ste 207
Mesa, AZ 85206-2512

Mailing address

3740 E Southern Ave Ste 207
Mesa, AZ 85206-2512
Phone (480) 325-0313

National Provider Directory

National Provider Directory

Locations

3740 E Southern Ave
Ste 207
Mesa, AZ 85206
Phone (480) 325-0313

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942403076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE STE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062512",
            "telephone_number": "480-325-0313",
            "fax_number": "480-324-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 E SOUTHERN AVE STE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062512",
            "telephone_number": "480-325-0313",
            "fax_number": "480-324-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOSAMANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIV",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "SYLVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-325-0313",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY MHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN045016AP0033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.