Growing Edges LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

GROWING EDGES LLC

Practice address

20779 W San Miguel Ave
Buckeye, AZ 85396-4609

Phone

(602) 980-9313

Fax

(602) 548-1446

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Ilyssa Swartout, PSY.D.NPI 1881630325

Title

President

Phone

(602) 980-9313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 4

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

• Ilyssa Swartout, PSY.D.

  • Clinical Psychologist
  • Buckeye, AZ
  • NPI 1881630325
  Medicare reassignment NPD Authorized official
• Wendy Chandross, MSW, LCSW

  • Clinical Social Worker
  • Phoenix, AZ
  • NPI 1669579603
  NPD
• Gina Touch Mercer, PH.D.

  • Clinical Psychologist
  • Anthem, AZ
  • NPI 1174758254
  NPD (past)
• Cornelia Pinnell, PH.D.

  • Psychologist
  • Glendale, AZ
  • NPI 1851317325
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1073739660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19580 W INDIAN SCHOOL RD STE 105-134",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962081",
            "telephone_number": "602-548-1444",
            "fax_number": "602-548-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20779 W SAN MIGUEL AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853964609",
            "telephone_number": "602-980-9313",
            "fax_number": "602-548-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING EDGES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "SWARTOUT",
        "authorized_official_first_name": "ILYSSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-980-9313",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael P Goodrich
• Kendra Alanna Gort, PSY.D.
• Nancy Gray
• Raquel Alicia Green, DDS
• Joyce Faith Gross, LMSW
• Sydney Guenther, FNP-C
• Jennifer Guess, PA-C
• Ricki Elizabeth Haab, PT, DPT
• Marci Lynn Hageman, FNP
• Brooklyn Rae Hagerman, D.M.D.

• Clinical Psychologist in Buckeye, AZ
• Providers in Buckeye, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.