LIGHTHOUSE PSYCHOLOGY LLC
NPI 1013565753
Psychologist - Clinical in Scottsdale, AZ

Active since August 27, 2019
5635 N SCOTTSDALE RD STE 170, SCOTTSDALE, AZ 85250(480) 383-3882 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2022, Aug 27, 2019 (2 updates tracked since 2019).

About Lighthouse Psychology Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIGHTHOUSE PSYCHOLOGY LLC (NPI 1013565753) is a healthcare organization registered as a clinical in Scottsdale, Arizona and active in the NPI registry since August 2019. The organization lists Sarette A Zecharia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1013565753
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameLIGHTHOUSE PSYCHOLOGY LLC
Location Address5635 N SCOTTSDALE RD STE 170Scottsdale, AZ 85250-5945
Mailing Address5635 N Scottsdale Rd Ste 170Scottsdale, AZ 85250-5945 · (480) 383-3882
Organization SubpartNo
Authorized OfficialSarette A ZechariaCeo · (480) 383-3882
Enumeration DateAugust 27, 2019
Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2022
✔ NPI 1013565753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
5635 N SCOTTSDALE RD STE 170, Scottsdale, AZ 85250

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lighthouse Psychology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lighthouse Psychology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Clinical Psychologist
NPI 1013387307
5635 N SCOTTSDALE RD STE 170
Scottsdale, AZ 85250
(480) 383-3882
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1558406629
371 W LODGE DR
Tempe, AZ 85283
(602) 574-9323
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lighthouse Psychology LLC's NPI number?

The NPI number for Lighthouse Psychology LLC is 1013565753. It was assigned to this organization in the NPPES registry on August 27, 2019.

Where is Lighthouse Psychology LLC located?

Lighthouse Psychology LLC is located at 5635 N Scottsdale Rd Ste 170, Scottsdale, AZ 85250. The listed phone number is (480) 383-3882.

What is Lighthouse Psychology LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lighthouse Psychology LLC enrolled in Medicare?

Yes. Lighthouse Psychology LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Psychology LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Lighthouse Psychology LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lighthouse Psychology LLC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.