Active NPI
Ladis Murillo
- Behavior Analyst
- Mesa, AZ
National Provider Identifier
1407589690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 4355 E University Dr Ste 108
Mesa, AZ 85205 - Phone
- (480) 578-2971
- Fax
- (480) 907-2365
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Psychologist | 103T00000X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Behavior Technician | 106S00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
4355 E University Dr Ste 108
Mesa, AZ 85205
Mailing address
4355 E University Dr Ste 108
Mesa, AZ 85205-7000
Phone (480) 578-2971
Other practice location 1
1525 S Higley Rd Ste 104
Gilbert, AZ 85296-5045
Phone (714) 787-7181
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Behavioral Consulting LLC | Behavior Analyst | Current | Accepting new patients |
Locations
1525 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 640-4908
4355 E University Dr
Ste 108
Mesa, AZ 85205
Phone (480) 578-2971
Organizations & group practices 1
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.
-
- Behavior Analyst
- Mesa, AZ
- NPI 1821715426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684972800000",
"number": "1407589690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 E UNIVERSITY DR STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "852057000",
"telephone_number": "480-578-2971",
"fax_number": "480-907-2365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 E UNIVERSITY DR STE 108",
"city": "MESA",
"state": "AZ",
"postal_code": "85205",
"telephone_number": "480-578-2971",
"fax_number": "480-907-2365"
}
],
"practiceLocations": [
{
"address_1": "1525 S Higley Rd Ste 104",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852965045",
"country_code": "US",
"telephone_number": "714-787-7181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MURILLO",
"first_name": "LADIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"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 May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.