East Valley Child Psychology

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EAST VALLEY CHILD PSYCHOLOGY

Practice address

1910 S Stapley Dr Ste 221
Mesa, AZ 85204-6680

Phone

(480) 202-1285

NPI assigned

Jul 18, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Madison Knight, PHD

Title

Licensed Psychologist

Phone

(480) 202-1285

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1563408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1003469057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3331 S HUACHUCA WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852860094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 S STAPLEY DR STE 221",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852046680",
            "telephone_number": "480-202-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST VALLEY CHILD PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-202-1285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Southern Medical Group, LLC
• East Valley Adult Resources
• East Valley ASC LLC
• East Valley Bone and Joint PLLC
• East Valley Center for Pulmonary & Sleep Disorders Inc
• East Valley Comfort LLC
• East Valley Community Services
• East Valley Counseling Associates LLP
• East Valley Critical Care Associates, P.C.
• East Valley Dental Professionals

• Adolescent and Children Mental Health Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Adolescent and Children Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.