Individual provider Active NPI

Maria D Mangione, PSYD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1215308689
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005700 Issued in VA
Practice address
4835 E Cactus Rd Ste 333
Scottsdale, AZ 85254-3542
Phone
(480) 840-7267
NPI assigned
Oct 12, 2015
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-005028 AZ
Clinical Psychologist 103TC0700X 0810005700 VA Primary
Rehabilitation Counselor 225C00000X

Addresses

Primary practice location

4835 E Cactus Rd Ste 333
Scottsdale, AZ 85254-3542

Mailing address

8585 E Hartford Dr Ste 107
Scottsdale, AZ 85255-5472
Phone (480) 800-7591

Other practice location 1

11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Phone (562) 949-8455

Other practice location 2

2800 S Shirlington Rd Ste 505
Arlington, VA 22206-3618
Phone (703) 807-0037

Other practice location 3

8585 E Hartford Dr Ste 107
Scottsdale, AZ 85255-5472
Phone (480) 800-7591

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY-005028AZMDClinical Psychologist
0810005700VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Center for Weight Management and Research Clinical PastSince Feb 9, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1215308689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8585 E HARTFORD DR STE 107",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555472",
            "telephone_number": "480-800-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 E CACTUS RD STE 333",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543542",
            "telephone_number": "480-840-7267"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11721 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703674",
            "country_code": "US",
            "telephone_number": "562-949-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 S Shirlington Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222063618",
            "country_code": "US",
            "telephone_number": "703-807-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8585 E Hartford Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852555472",
            "country_code": "US",
            "telephone_number": "480-800-7591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "MARIA",
        "middle_name": "D",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005028",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005700",
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.