NPIMap

Organization Active NPI

Southern Arizona Psychological Services PLLC

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1063105302
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SOUTHERN ARIZONA PSYCHOLOGICAL SERVICES PLLC
Practice address
2198 E Camelback Rd Ste 210a
Phoenix, AZ 85016-4746
Phone
(480) 442-8340
NPI assigned
Jun 1, 2023
Last updated
Jun 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Authorized official

Name
Stephanie ReynoldsNPI 1588852040
Title
Owner
Phone
(480) 442-8340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

2198 E Camelback Rd Ste 210a
Phoenix, AZ 85016-4746

Mailing address

15252 N 100TH St Unit 2162
Scottsdale, AZ 85260-3896

National Provider Directory

National Provider Directory

Locations

2198 E Camelback Rd
Ste 210A
Phoenix, AZ 85016
Phone (480) 442-8340

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1063105302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15252 N 100TH ST UNIT 2162",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2198 E CAMELBACK RD STE 210A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164746",
            "telephone_number": "480-442-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ARIZONA PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-442-8340"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.