SUNRISE PSYCHIATRY PLLC
NPI 1790466035
Psychiatry & Neurology - Psychiatry in Mesa, AZ
About Sunrise Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUNRISE PSYCHIATRY PLLC (NPI 1790466035) is a healthcare organization registered as a psychiatry in Mesa, Arizona and active in the NPI registry since July 2023. The organization lists Tallan Depriest, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sunrise Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Sunrise Psychiatry PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Sunrise Psychiatry PLLC's NPI number?
The NPI number for Sunrise Psychiatry PLLC is 1790466035. It was assigned to this organization in the NPPES registry on July 28, 2023.
Where is Sunrise Psychiatry PLLC located?
Sunrise Psychiatry PLLC is located at 1520 S Dobson Rd Ste 213A, Mesa, AZ 85202. The listed phone number is (480) 382-6982.
What is Sunrise Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Sunrise Psychiatry PLLC enrolled in Medicare?
Yes. Sunrise Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sunrise Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Sunrise Psychiatry PLLC, in Nurse Practitioner and Psychiatry. 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 Sunrise Psychiatry PLLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Sunrise Psychiatry Pllc · NPI 1790466035
Psychiatry organization in Mesa, Arizona. Organization record, active in the CMS NPPES registry since July 28, 2023.
## Identity
- **NPI:** 1790466035 (Entity type: Organization)
- **Enumerated:** July 28, 2023
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Tallan Depriest, DIRECTOR
## Practice location
- **Address:** 1520 S DOBSON RD STE 213A, Mesa, AZ 85202-4767
- **Phone:** (480) 382-6982
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (1), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1790466035) · Data from the CMS NPPES public registry.