Maryann Beltran Thirakul, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3783 Issued in AZ

Practice address

2266 S. Dobson Rd.
Suite 200
Mesa, AZ 85202

Phone

(480) 775-5154

Fax

(480) 744-2726

NPI assigned

Dec 4, 2006

Last updated

Feb 3, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Mary Ann B. Thirakul, PLLC

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1679719306
  Authorized official Same address or phone

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1265590418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S ALMA SCHOOL RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103086",
            "telephone_number": "480-344-7088",
            "fax_number": "480-744-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 S. DOBSON RD.",
            "address_2": "SUITE 200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85202",
            "telephone_number": "480-775-5154",
            "fax_number": "480-744-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRAKUL",
        "first_name": "MARYANN",
        "middle_name": "BELTRAN",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3783",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3783",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "3783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140717",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therma-Scan Reference Laboratory, LLC
• Tiffany L Therrien, MOTR/L
• Claude R Thibeault, MD
• Jeff R Thiboutot, B.S., C.N.
• Katherine Aubrey Thiel
• Third Street Home
• Stephanie Marie Thirjung
• Elaine Thobe
• Thomas E Sutton MD PC
• Ashley Kay Thomas, CF-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.