Active NPI
Prima Neuropsychology, PLLC
- Clinical Neuropsychologist
- Phoenix, AZ
National Provider Identifier
1114831054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Legal business name
- PRIMA NEUROPSYCHOLOGY, PLLC
- Practice address
- 2999 N 44TH St Ste 415
Phoenix, AZ 85018-7251 - Phone
- (602) 675-0335
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- 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
- Marissa Mascorro, PSYD
- Title
- Owner
- Phone
- (602) 675-0335
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | NU | Primary |
Addresses
Primary practice location
2999 N 44TH St Ste 415
Phoenix, AZ 85018-7251
Mailing address
29455 N Cave Creek Rd Ste 118-527
Cave Creek, AZ 85331-3245
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.
-
- Clinical Psychologist
- Phoenix, AZ
- NPI 1063832343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790640000000",
"number": "1114831054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29455 N CAVE CREEK RD STE 118-527",
"city": "CAVE CREEK",
"state": "AZ",
"postal_code": "853313245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 N 44TH ST STE 415",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850187251",
"telephone_number": "602-675-0335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMA NEUROPSYCHOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A",
"authorized_official_last_name": "MASCORRO",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-675-0335",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"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 Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.