Individual provider Active NPI

Samantha Mongold-Cabral, PSY.D

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1477411767
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
005963 Issued in AZ
Practice address
11221 N 28TH Dr BLDG E
Phoenix, AZ 85029-5615
Phone
(602) 388-1700
NPI assigned
Jan 14, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005963 AZ Primary

Addresses

Primary practice location

11221 N 28TH Dr BLDG E
Phoenix, AZ 85029-5615

Mailing address

1849 S Power Rd Apt 1246
Mesa, AZ 85206-4344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129004014 AZ Practitioner - Clinical Psychologist 9638657711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Practice addresses (Care Compare)

11221 N 28TH Dr
BLDG E
Phoenix, AZ 85029-5615
Phone (602) 997-2233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005963AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Jan 1, 2026 Accepting new patients

Locations

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

11221 N 28th Dr
Bldg E
Phoenix, AZ 85029
Phone (602) 892-5155

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 3

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": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1477411767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 S POWER RD APT 1246",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11221 N 28TH DR BLDG E",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850295615",
            "telephone_number": "602-388-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGOLD-CABRAL",
        "first_name": "SAMANTHA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "005963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.