SISU PSYCHOLOGICAL SERVICES LLC NPI 1962880377

NPI Information

NPI: 1962880377
Provider Name: SISU PSYCHOLOGICAL SERVICES LLC
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Organization
Address: 17220 N BOSWELL BLVD STE 206
SUN CITY, AZ
ZIP 85373
Phone: (928) 228-0346

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NPI Details

SISU PSYCHOLOGICAL SERVICES LLC is a clinical psychologist in Sun City, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SISU PSYCHOLOGICAL SERVICES LLC NPI is 1962880377. The provider is registered as an organization entity type.

The provider's business location address is:

17220 N BOSWELL BLVD STE 206
SUN CITY, AZ
ZIP 85373-070
Phone: (928) 228-0346
Fax: (844) 464-1201

The provider's authorized official is Cynthia Stahura .
The authorized official title is Owner/psychologist and has the following contact phone number (928) 228-0346.

The enumeration date for this NPI number is 5/18/2015 and was last updated on 6/11/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	103TC0700X	Psychologist	Clinical	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	988196	MEDICAID	ARIZONA
2	Z249020	OTHER	ARIZONA	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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