Individual provider Active NPI

Brianna A Chaib, LMFT

  • Marriage & Family Therapist
  • Gilbert, AZ
National Provider Identifier
1346970332
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT-10635 Issued in AZ
Practice address
1355 S Higley Rd Ste 113
Gilbert, AZ 85296-4789
Phone
(480) 339-7119
NPI assigned
Jun 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT-10635 AZ Primary

Addresses

Primary practice location

1355 S Higley Rd Ste 113
Gilbert, AZ 85296-4789

Mailing address

3440 E Southern Ave Unit 1031
Mesa, AZ 85204-5653
Phone (480) 204-3573

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

State licenses

LicenseStateTypeSpecialty
LMFT-10635AZMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Innovations of Arizona CurrentSince Jun 21, 2022 Accepting new patients
Women'S Health Innovations of Arizona PastSince Jun 16, 2024 Accepting new patients

Locations

1355 S Higley Rd
Ste 113
Gilbert, AZ 85296
Phone (480) 339-7119

9280 S Kyrene Rd
Ste 119
Tempe, AZ 85284
Phone (480) 339-7119

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1346970332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 E SOUTHERN AVE UNIT 1031",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045653",
            "telephone_number": "480-204-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S HIGLEY RD STE 113",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852964789",
            "telephone_number": "480-339-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIB",
        "first_name": "BRIANNA",
        "middle_name": "A",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT-10635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.