Individual provider Active NPI

Shirley (Duffy) Mxmahon, PH.D.

  • Health Service Psychologist
  • Mesa, AZ
National Provider Identifier
1114526159
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Practice address
4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630
Phone
(480) 830-3900
Fax
(480) 830-3901
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X Primary

Addresses

Primary practice location

4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630

Mailing address

4555 E Inverness Ave BLDG 3
Mesa, AZ 85206-4630
Phone (480) 830-3900

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL valleysleepcenter.com Other ALL VALLEY SLEEP CENTER, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114526159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE BLDG 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-830-3900",
            "fax_number": "480-830-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 E INVERNESS AVE BLDG 3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064630",
            "telephone_number": "480-830-3900",
            "fax_number": "480-830-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MXMAHON",
        "first_name": "SHIRLEY (DUFFY)",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "valleysleepcenter.com",
            "affiliation": "Y",
            "endpointDescription": "sleep lab",
            "affiliationName": "ALL VALLEY SLEEP CENTER, LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Sleep Therapy",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Sleep Information",
            "address_1": "4555 E Inverness Ave Bldg 3",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852064630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.