Individual provider Active NPI

Gustavo Franza, M.A.

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1497042337
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-004503 Issued in AZ
Practice address
2524 E Indian School Rd
Phoenix, AZ 85016-6737
Phone
(213) 385-5100
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-004503 AZ Primary
Counseling Psychologist 103TC1900X PSY-004503 AZ
Family Psychologist 103TF0000X PSY-004503 AZ
Forensic Psychologist 103TF0200X PSY-004503 AZ

Addresses

Primary practice location

2524 E Indian School Rd
Phoenix, AZ 85016-6737

Mailing address

8607 S 22ND PL
Phoenix, AZ 85042-8145
Phone (602) 430-1458

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
I20211028003209 AZ Practitioner - Clinical Psychologist 7719375591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2524 E Indian School Rd
Phoenix, AZ 85016-6737
Phone (602) 430-1458

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSY-004503AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Franza Psychological Services, PLLC Clinical CurrentSince Sep 13, 2021 Accepting new patients

Locations

2524 E Indian School Rd
Phoenix, AZ 85016
Phone (602) 430-1458

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.

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1497042337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 S 22ND PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850428145",
            "telephone_number": "602-430-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166737",
            "telephone_number": "213-385-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANZA",
        "first_name": "GUSTAVO",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004503",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "PSY-004503",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "AZ",
            "license": "PSY-004503",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "PSY-004503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.