Organization Active NPI

C.T. Psychologist, PPLC

  • Clinical Psychologist
  • Chandler, AZ
National Provider Identifier
1508920240
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1868 Issued in AZ
Legal business name
C.T. PSYCHOLOGIST, PPLC
Practice address
793 N Alma School Rd
Suite C # 10
Chandler, AZ 85224-3681
Phone
(480) 726-2600
Fax
(480) 726-2200
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joe Carabajal, PH.D.
Title
Psychologist
Phone
(480) 726-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1868 AZ Primary

Addresses

Primary practice location

793 N Alma School Rd
Suite C # 10
Chandler, AZ 85224-3681

Mailing address

793 N Alma School Rd
Suite C # 10
Chandler, AZ 85224-3681
Phone (480) 726-2600

National Provider Directory

National Provider Directory

Locations

793 N Alma School Rd
Ste 10
Chandler, AZ 85224
Phone (480) 726-2600

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508920240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 N ALMA SCHOOL RD",
            "address_2": "SUITE C # 10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243681",
            "telephone_number": "480-726-2600",
            "fax_number": "480-726-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 N ALMA SCHOOL RD",
            "address_2": "SUITE C # 10",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243681",
            "telephone_number": "480-726-2600",
            "fax_number": "480-726-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.T. PSYCHOLOGIST, PPLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARABAJAL",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-726-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.