NPIMap

Organization Active NPI

Psych Services, LLC

  • Community/Behavioral Health Agency
  • Tempe, AZ
National Provider Identifier
1033516208
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-14567 Issued in AZ
Legal business name
PSYCH SERVICES, LLC
Practice address
1117 W 9TH St
Tempe, AZ 85281-5304
Phone
(602) 402-4474
NPI assigned
Dec 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Authorized official

Name
Mr. Anthony John Bratko, MSC, LPC, LISACNPI 1093195810
Title
Clinical Director
Phone
(602) 402-4474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC-14567 AZ Primary

Addresses

Primary practice location

1117 W 9TH St
Tempe, AZ 85281-5304

Mailing address

1117 W 9TH St
Tempe, AZ 85281-5304
Phone (602) 402-4474

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1033516208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 W 9TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815304",
            "telephone_number": "602-402-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 W 9TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815304",
            "telephone_number": "602-402-4474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "BRATKO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "602-402-4474",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSC, LPC, LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "LPC-14567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.