Rae Mazzei, PSY.D., BCB

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004990 Issued in AZ

Practice address

3377 S Price Rd Ste 2104
Chandler, AZ 85248-3573

Phone

(480) 448-6755

NPI assigned

Sep 29, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2023 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Joseph Mazzei PLLC

  dba BodyLogicMD of Phoenix-Chandler

  • Clinic/Center
  • Chandler, AZ
  • NPI 1013494327
  NPD (past)

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1316340847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD STE 2104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483573",
            "telephone_number": "480-448-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3377 S PRICE RD STE 2104",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483573",
            "telephone_number": "480-448-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZEI",
        "first_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PSY.D., BCB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178009902",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009211",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Jean Mayo, LPC
• Skyra Mayo
• Mazoury Family Medicine LLC
• Alireza Mazoury, FNP
• Joseph P Mazzei, DO
• Jauna Elizabeth Mazzocco
• Louise Mbadjoun, NURSE
• Nyah Melinda Campbell McAuliffe, MED, BCBA, LBA
• Madison Lynn McBeath
• Erin McBride, M.A. CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.