Individual provider Active NPI

Michael Dean, MAS-MFT, LMFT

  • Marriage & Family Therapist
  • Phoenix, AZ
National Provider Identifier
1205480357
Registry record updated Jul 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-15210 Issued in AZ
Practice address
16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465
Phone
(602) 550-5221
NPI assigned
Jul 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-15210 AZ Primary

Addresses

Primary practice location

16815 S Desert Foothills Pkwy Ste 134
Phoenix, AZ 85048-8465

Mailing address

631 W Portobello Ave
Mesa, AZ 85210-8347
Phone (480) 748-8616

Medicare participation

Medicare enrollment files
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 May 17, 2024 through May 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT-15210AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vivify Wellness LLC Past Accepting new patients
Newpoint of View Counseling PastSince Aug 6, 2019 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564185600000",
    "number": "1205480357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 W PORTOBELLO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108347",
            "telephone_number": "480-748-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16815 S DESERT FOOTHILLS PKWY STE 134",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488465",
            "telephone_number": "602-550-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "MICHAEL",
        "credential": "MAS-MFT, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-27",
        "last_updated": "2019-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-15210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.