Colleen C Cordes, PHD

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

4155 Issued in AZ

Practice address

7301 E 2ND St
Suite 210
Scottsdale, AZ 85251-5600

Phone

(480) 882-4545

Fax

(480) 882-6804

NPI assigned

Jun 18, 2013

Last updated

Jun 18, 2013By the provider in NPPES

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 names 1

• Colleen E Clemency Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1245679794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-882-4545",
            "fax_number": "480-882-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "address_2": "SUITE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-882-4545",
            "fax_number": "480-882-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDES",
        "first_name": "COLLEEN",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "4155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "CLEMENCY",
            "middle_name": "E",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phillip Michael Coram, RN
• Moses Corbell, DC
• Cleopatra Corcoran
• Jennifer Mary Corcoran, PT
• Brett D Cordes
• Alexandria Cording
• Jerome Jeremy Cordova, M.D.
• Corebella Health and Wellness LLC (Brightview Health)
• Jan-Michael B Corella, AG-ACNP
• John J Corey, M.D.

• Counseling Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Counseling Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.