Active NPI
Marta Desoto, PHD., LLC
- Community/Behavioral Health Agency
- Phoenix, AZ
National Provider Identifier
1093980799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3776
- Legal business name
- MARTA DESOTO, PHD., LLC
- Practice address
- 7728 N 14TH St
Phoenix, AZ 85020-4303 - Phone
- (602) 290-0672
- NPI assigned
- Apr 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marta Desoto, PHD
- Title
- Clinical Psychologist
- Phone
- (602) 290-0672
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3776 | AZ | Primary |
Addresses
Primary practice location
7728 N 14TH St
Phoenix, AZ 85020-4303
Mailing address
7728 N 14TH St
Phoenix, AZ 85020-4303
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208995200000",
"number": "1093980799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7728 N 14TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7728 N 14TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204303",
"telephone_number": "602-290-0672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTA DESOTO, PHD., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-24",
"last_updated": "2008-04-24",
"status": "A",
"authorized_official_last_name": "DESOTO",
"authorized_official_first_name": "MARTA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "602-290-0672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "3776",
"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 Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.