Sisu Psychological Services LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SISU PSYCHOLOGICAL SERVICES LLC

Practice address

17220 N Boswell Blvd Ste 206
Sun City, AZ 85373-2070

Phone

(928) 228-0346

Fax

(844) 464-1201

NPI assigned

May 18, 2015

Organization subpart

No

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

Authorized official

Name

Cynthia Stahura, PSYD

Title

Owner/Psychologist

Phone

(928) 228-0346

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686441600000",
    "number": "1962880377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17220 N BOSWELL BLVD STE 206",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732070",
            "telephone_number": "928-228-0346",
            "fax_number": "844-464-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 N BOSWELL BLVD STE 206",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732070",
            "telephone_number": "928-228-0346",
            "fax_number": "844-464-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISU PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-18",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A",
        "authorized_official_last_name": "STAHURA",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "928-228-0346",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988196",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z249020",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Sillaman
• Jatinder Pal Singh
• Jujhar Singh, DO
• Savdeep Singh, MD
• James E Sinner, D.C.
• Lauren Renee Slaughter, PA-C
• Andrew Slaven, DPT
• Sleepmed Phoenix LLC (Sleepmed Arizona)
• Sleepmed Therapies Inc
• Smiles of Sun City

• Clinical Psychologist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.