Connie S Pyburn PHD PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CONNIE S PYBURN PHD PLLC

Practice address

6625 S Rural Rd Ste 101
Tempe, AZ 85283-3717

Phone

(480) 577-5044

Fax

(480) 345-2294

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie S Pyburn, PHD

Title

Psychologist

Phone

(480) 577-5044

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie S. Pyburn PH.D PLLC, PH. D.

  • Psychologist
  • Tempe, AZ
  • NPI 1013930437
  NPD
• Stephen L Carson, PHD

  • Cognitive & Behavioral Psychologist
  • Tempe, AZ
  • NPI 1306050356
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1396311668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-577-5044",
            "fax_number": "480-345-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 S RURAL RD STE 101",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833717",
            "telephone_number": "480-577-5044",
            "fax_number": "480-345-2294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE S PYBURN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "PYBURN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-577-5044",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mazi Darrell Condelee, CRNA
• Juanita Conedy
• Edward Scott Connell, DMD
• Patricia Eileen Connelly, L.AC
• Connie Bruch-Harrison PLLC
• Shannon Kristi Connor, OD
• Charly M Connors
• Chloe Linnea Conrad, SLP-CFY
• Melanie Conrad, RN/IBCLC
• Jessica Ashley Constancio, AA, RBT

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.