NPIMap

Organization Active NPI

Coral Valley Psychological Services, PLLC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1194549758
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CORAL VALLEY PSYCHOLOGICAL SERVICES, PLLC
Practice address
5010 E Warner Rd Ste 108
Phoenix, AZ 85044-3354
Phone
(480) 382-4416
Fax
(844) 444-0723
NPI assigned
Nov 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Authorized official

Name
Dr. Lauren C. Taveras, PSY.D.NPI 1770029746
Title
Owner/Founder
Phone
(480) 382-4416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5010 E Warner Rd Ste 108
Phoenix, AZ 85044-3354

Mailing address

5010 E Warner Rd Ste 108
Phoenix, AZ 85044-3354
Phone (480) 382-4416

National Provider Directory

National Provider Directory

Locations

5010 E Warner Rd
Ste 108
Phoenix, AZ 85044
Phone (480) 245-6080

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1194549758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443354",
            "telephone_number": "480-382-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 E WARNER RD STE 108",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443354",
            "telephone_number": "480-382-4416",
            "fax_number": "844-444-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAL VALLEY PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "480-382-4416",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

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 Nov 11, 2024; 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.