Individual provider Active NPI

Stacy E. Lamorgese, PSY. D.

  • Psychologist
  • Mesa, AZ
National Provider Identifier
1609389451
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4910 Issued in AZ
Practice address
3635 E Inverness Ave Ste 108
Mesa, AZ 85206-3848
Phone
(480) 343-9388
Fax
(480) 292-7506
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4910 AZ Primary

Addresses

Primary practice location

3635 E Inverness Ave Ste 108
Mesa, AZ 85206-3848

Mailing address

3129 E Blue Sage CT
Gilbert, AZ 85297-6001
Phone (480) 235-9557

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
I20180329001047 AZ Practitioner - Clinical Psychologist 6800158940 Practice locations: Mesa, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4115 E Valley Auto Dr
Suite 208
Mesa, AZ 85206-4612
Phone (480) 507-7880

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1609389451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 E BLUE SAGE CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852976001",
            "telephone_number": "480-235-9557",
            "fax_number": "480-507-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 E INVERNESS AVE STE 108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063848",
            "telephone_number": "480-343-9388",
            "fax_number": "480-292-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMORGESE",
        "first_name": "STACY",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.