Individual provider Active NPI

Michael Forbes Warden, PHD

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1477534634
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1021 Issued in AZ
Practice address
1233 N Mesa Dr Apt 1117
Mesa, AZ 85201-2758
Phone
(602) 525-2109
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1021 AZ Primary
Clinical Neuropsychologist 103G00000X 1021 AZ

Addresses

Primary practice location

1233 N Mesa Dr Apt 1117
Mesa, AZ 85201-2758

Mailing address

7155 W Campo Bello Dr Ste C120
Glendale, AZ 85308-8594
Phone (602) 525-2109

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
I20211117000761 AZ Practitioner - Clinical Psychologist 8921144478 Reassigns benefits to 1 organization
Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PAGroup PAC ID 3678948809, 92 clinicians

Practice addresses (Care Compare)

Mesa, AZ 85201
Phone (602) 525-2109

3104 E Camelback Rd
Suite 2937
Phoenix, AZ 85016-4502
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1021AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Forbes Warden PHD PLLC CurrentSince Jul 27, 2021 Accepting new patients
Brightside Medical, P.a. CurrentSince Feb 1, 2025 Accepting new patients
Arizona Family Research Counseling Center PastSince Jan 1, 1990 Accepting new patients

Locations

7155 W Campo Bello Dr
Ste C120
Glendale, AZ 85308
Phone (602) 528-8148

3104 E Camelback Rd
Phoenix, AZ 85016
Phone (888) 888-9930

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1477534634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7155 W CAMPO BELLO DR STE C120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088594",
            "telephone_number": "602-525-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MESA DR APT 1117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852012758",
            "telephone_number": "602-525-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "MICHAEL",
        "middle_name": "FORBES",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1021",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "1021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.