Stephen John Anthony, PH.D.

Individual provider Active NPI Clinical Psychologist · Mesa, AZ

NPI 1477511103 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1477511103
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
570 (AZ)
Practice address
1201 S Alma School Rd
Suite 11750
Mesa, AZ 85210-2008
Phone
(480) 834-3505
Fax
(480) 464-0613
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
570AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark T Callesen MD PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 570 AZ Yes

Addresses

Primary practice location

1201 S Alma School Rd
Suite 11750
Mesa, AZ 85210-2008

Mailing address

1201 S Alma School Rd
Suite 11750
Mesa, AZ 85210-2008
Phone (480) 834-3505

Other providers in Mesa, AZ

All providers in Mesa, AZ · Clinical Psychologist in Arizona

Sources for this page

Verify at the official NPI Registry.