Active NPI
Mary Kalpakoff, PSY.D.
- Psychologist
- Mesa, AZ
National Provider Identifier
1376917377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005419
- Practice address
- 1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086 - Phone
- (480) 730-6222
- NPI assigned
- Nov 15, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY11248 | FL | |
| Psychologist | 103T00000X | PSY-005419 | AZ | Primary |
Addresses
Primary practice location
1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086
Mailing address
1830 S Alma School Rd Ste 112
Mesa, AZ 85210-3086
Phone (480) 730-6222
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005419 | AZ | MD | Psychologist |
| PY11248 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Psychology Consultants, Inc. | Past | Accepting new patients | |
| Professional Counseling Associates, LLC | Psychologist | Past | Accepting new patients |
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.
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- Mesa, AZ
- NPI 1295852051
-
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1568581031
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1376917377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852103086",
"telephone_number": "480-730-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD STE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852103086",
"telephone_number": "480-730-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALPAKOFF",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-15",
"last_updated": "2022-01-12",
"certification_date": "2022-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY11248",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.