Psi Behavioral Health LLC

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

4012 Issued in AZ

Legal business name

PSI BEHAVIORAL HEALTH LLC

Practice address

7400 E Osborn Rd
Scottsdale, AZ 85251-6432

Phone

(660) 341-5030

NPI assigned

Apr 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rene J McGovern, PH.D.NPI 1093717084

Title

Manager/Owner

Phone

(660) 341-5030

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rene J McGovern, PH D

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1093717084
  NPD (past) Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1588808745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 3RD AVE",
            "address_2": "UNIT 405",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514451",
            "telephone_number": "660-341-5030",
            "fax_number": "480-773-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516432",
            "telephone_number": "660-341-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSI BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "MCGOVERN",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "660-341-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health",
            "state": "AZ",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499779817",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Pruett, LAC
• Wendy L. Prynn, M.D.
• Clareann W Pryor, SLP
• Shepherd G Pryor V, M.D.
• PSF Arizona Office
• Erin Psota, ND
• Psychological Counseling Services, LTD.
• Psychological Counseling Services, LTD.
• Linda D Psyk, CD(DONA)
• PT Coach, LLC

• Health Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Health Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; 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.