Organization Active NPI

Sabino Psychiatric Services LLC

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1952951394
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SABINO PSYCHIATRIC SERVICES LLC
Practice address
5215 N Sabino Canyon Rd
Tucson, AZ 85750-6435
Phone
(520) 505-1751
Fax
(888) 519-1369
NPI assigned
Sep 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Dr. Sierra-Doreen Wong, MD
Title
Managing Member
Phone
(520) 505-1751

Specialties & licenses 1

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

Addresses

Primary practice location

5215 N Sabino Canyon Rd
Tucson, AZ 85750-6435

Mailing address

5215 N Sabino Canyon Rd
Tucson, AZ 85750-6435
Phone (520) 505-1751

National Provider Directory

National Provider Directory

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": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1952951394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 N SABINO CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506435",
            "telephone_number": "520-505-1751",
            "fax_number": "888-519-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 N SABINO CANYON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857506435",
            "telephone_number": "520-505-1751",
            "fax_number": "888-519-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SABINO PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SIERRA-DOREEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "520-505-1751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.