Maki Obana, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4097 Issued in AZ

Practice address

1845 S Dobson Rd Ste 207
Mesa, AZ 85202-5663

Phone

(480) 721-4880

Fax

(480) 257-3485

NPI assigned

May 26, 2010

Last updated

Feb 9, 2023By 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 identifiers 1

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• International Counseling and Psychological Services LLC

  • Psychologist
  • Mesa, AZ
  • NPI 1154172310
  Medicare reassignment NPD Authorized official
• International Counseling and Psychological Services, LLC

  • Psychologist
  • Chandler, AZ
  • NPI 1881064087
  NPD (past) Authorized official

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

{
    "created_epoch": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1255650594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025663",
            "telephone_number": "480-721-4880",
            "fax_number": "480-257-3485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S DOBSON RD STE 207",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025663",
            "telephone_number": "480-721-4880",
            "fax_number": "480-257-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBANA",
        "first_name": "MAKI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "527697",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oasis PM&R Services, PLLC
• Oasis Telepsychiatry, L.L.C.
• Janet Oates, RN
• Valerie M Oatis, LMSW
• Gloria Nyakerario Obaigwa
• Peter Ebot Oben, RVT, RDCS,RDMA
• Saige Obray
• Christopher Obrien
• Obstetrix Medical Group of Phoenix PC (Phoenix Perinatal Associates)
• Julie Ocampo, LCSW

• Psychologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.