Active NPI
Adam Kristevski
- Clinical Psychologist
- Goodyear, AZ
National Provider Identifier
1144778176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4773
- Practice address
- 14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519 - Phone
- (480) 516-8037
- Fax
- (480) 210-7543
- NPI assigned
- Sep 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4773 | AZ | Primary |
Addresses
Primary practice location
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Mailing address
14441 W McDowell Rd Ste B102
Goodyear, AZ 85395-2519
Phone (480) 516-8037
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4773 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genhealth | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Goodyear, AZ
- NPI 1144799792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1144778176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14441 W MCDOWELL RD STE B102",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952519",
"telephone_number": "480-516-8037",
"fax_number": "480-210-7543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14441 W MCDOWELL RD STE B102",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952519",
"telephone_number": "480-516-8037",
"fax_number": "480-210-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRISTEVSKI",
"first_name": "ADAM",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.