Individual provider Active NPI

Amanda Araki

  • Psychologist
  • Tempe, AZ
National Provider Identifier
1487308375
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-005796 Issued in AZ
Practice address
1021 W Greenway Dr
Tempe, AZ 85282-6538
Phone
(415) 226-8853
NPI assigned
Feb 9, 2022
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Psychologist 103T00000X PSY-005796 AZ Primary

Addresses

Primary practice location

1021 W Greenway Dr
Tempe, AZ 85282-6538

Mailing address

1021 W Greenway Dr
Tempe, AZ 85282-6538

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
I20241119004903 AZ Practitioner - Clinical Psychologist 2567997190 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-005796AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Therapy Associates, LLC CurrentSince Nov 1, 2024 Accepting new patients
Raymond W Lemberg PHD PC Psychologist CurrentSince Nov 1, 2024 Accepting new patients
Araki Psychological Services, PLLC Current Accepting new patients

Locations

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1487308375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W GREENWAY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W GREENWAY DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826538",
            "telephone_number": "415-226-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAKI",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-09",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.