Active NPI
Thomas Russell Geen, PH.D.
- Clinical Psychologist
- Tempe, AZ
National Provider Identifier
1316108665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3572
- Practice address
- 4411 S Rural Rd Ste 201
Tempe, AZ 85282-7072 - Phone
- (612) 930-2202
- Fax
- (602) 442-4085
- NPI assigned
- Jun 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | 3572 | AZ | |
| Clinical Psychologist | 103TC0700X | 3572 | AZ | Primary |
Addresses
Primary practice location
4411 S Rural Rd Ste 201
Tempe, AZ 85282-7072
Mailing address
3508 E Verbena Dr
Phoenix, AZ 85044-6507
Phone (480) 516-9778
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585094400000",
"number": "1316108665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 E VERBENA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850446507",
"telephone_number": "480-516-9778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4411 S RURAL RD STE 201",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827072",
"telephone_number": "612-930-2202",
"fax_number": "602-442-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEEN",
"first_name": "THOMAS",
"middle_name": "RUSSELL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-19",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AZ",
"license": "3572",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.