Organization Active NPI

The Legacy Institute

  • Health Psychologist
  • Peoria, AZ
National Provider Identifier
1962771329
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health PsychologistTaxonomy code 103TH0004X
License
3984 Issued in AZ
Legal business name
THE LEGACY INSTITUTE
Practice address
8190 W Deer Valley Rd
#297
Peoria, AZ 85382-2126
Phone
(623) 398-4814
Fax
(623) 234-3751
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Sharon Bell Banks, PSYD
Title
Member
Phone
(623) 398-4814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0004X 3984 AZ Primary

Addresses

Primary practice location

8190 W Deer Valley Rd
#297
Peoria, AZ 85382-2126

Mailing address

8190 W Deer Valley Rd
#297
Peoria, AZ 85382-2126
Phone (623) 398-4814

National Provider Directory

National Provider Directory

Locations

8190 W Deer Valley Rd
#297
Peoria, AZ 85382
Phone (623) 398-4814

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": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1962771329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 W DEER VALLEY RD",
            "address_2": "#297",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822126",
            "telephone_number": "623-398-4814",
            "fax_number": "623-234-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 W DEER VALLEY RD",
            "address_2": "#297",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822126",
            "telephone_number": "623-398-4814",
            "fax_number": "623-234-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LEGACY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "623-398-4814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "AZ",
            "license": "3984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.