Individual provider Active NPI

Rory B. Madden

  • Counseling Psychologist
  • Prescott, AZ
National Provider Identifier
1245378595
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1495 Issued in AZ
Practice address
143 E Merritt St
Prescott, AZ 86301-2028
Phone
(928) 458-5447
Fax
(928) 445-7071
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1495 AZ Primary

Addresses

Primary practice location

143 E Merritt St
Prescott, AZ 86301-2028

Mailing address

143 E Merritt St
Prescott, AZ 86301-2028
Phone (928) 458-5447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000669 AZ Practitioner - Clinical Psychologist 9931247335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1680 W Iron Springs Rd
Suite 103
Prescott, AZ 86305-3313
Phone (928) 458-5447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1495AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rory B. Madden, Ed.D., PC CurrentSince Nov 1, 2009 Accepting new patients

Locations

1680 W Iron Springs Rd
Ste 103
Prescott, AZ 86305
Phone (928) 443-0661

1650 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 458-5447

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1245378595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-458-5447",
            "fax_number": "928-445-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 E MERRITT ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012028",
            "telephone_number": "928-458-5447",
            "fax_number": "928-445-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDEN",
        "first_name": "RORY",
        "middle_name": "B.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.