Edward Callirgos, MAS, LMFT #15169

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

15169 Issued in AZ

Practice address

8737 E Via de Commercio
Suite 200
Scottsdale, AZ 85258-3595

Phone

(480) 203-7165

NPI assigned

Jul 29, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• The Bridge Counseling, Consulting and Mediation LLC

  • Marriage & Family Therapist
  • Tempe, AZ
  • NPI 1427553940
  NPD (past) Authorized official

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1407298607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 S LAKESHORE DR STE 302",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827127",
            "telephone_number": "480-203-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 E VIA DE COMMERCIO",
            "address_2": "SUITE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583595",
            "telephone_number": "480-203-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLIRGOS",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MAS, LMFT #15169",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "15169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Callahan, NURSE PRACTITIONER
• Brittany Callan, PA-C
• Brian Callaway, DDS
• Donna J. Callicutt, DNP, AGNP-C
• John Callini
• Hannelisa Callisen
• Deb Callison
• Calmly Grounded Therapy LLC
• Calmocd
• Daniela Caltaru, M.D.

• Marriage & Family Therapist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.