Mahsaw Elicia Nademin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4018 Issued in AZ

Practice address

3040 E Cactus Rd
Suite 6
Phoenix, AZ 85032-7196

Phone

(480) 221-8816

Fax

(602) 494-3131

NPI assigned

Feb 11, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elicia Mahsaw Nademin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1205075413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 E CACTUS RD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327196",
            "telephone_number": "480-221-8816",
            "fax_number": "602-494-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 E CACTUS RD",
            "address_2": "SUITE 6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327196",
            "telephone_number": "480-221-8816",
            "fax_number": "602-494-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADEMIN",
        "first_name": "MAHSAW",
        "middle_name": "ELICIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELICIA",
            "last_name": "NADEMIN",
            "middle_name": "MAHSAW",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristi Michelle Nachreiner
• Jothi Nadarajah, D.D.S.
• Michael Greg Nadauld, DMD
• Jayden Nadeau, NP
• Paula Frank Nadell, M.D.
• Mandana Naderi, PHARMD, MPH, BCIDP
• Omar Nadhem, M.D.
• Abdul Nadir, MD
• Nahid Nadiri, M.D.
• Scott Naegele, MC, NCC, LPC

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.