# MEDPSYCHPLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295535342
- **Authorized official:** DR. JOHN SPARKS DNP (MEMBER)
- **Authorized official phone:** (520) 812-6200

## Contact information

- **Practice address:** 210 W CONTINENTAL RD STE 120, GREEN VALLEY, AZ 85622-3546
- **Practice address phone:** (520) 812-6200
- **Practice address fax:** (833) 672-2775
- **Mailing address:** 210 W CONTINENTAL RD STE 120, GREEN VALLEY, AZ 85622-3546
- **Mailing address phone:** (520) 812-6200
- **Mailing address fax:** (833) 672-2775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2025
- **Last updated:** 09/06/2026
