Active NPI
Twin Hills Psychological Services, PLLC
- Psychologist
- Mesa, AZ
National Provider Identifier
1609655844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- TWIN HILLS PSYCHOLOGICAL SERVICES, PLLC
- Practice address
- 3707 E Southern Ave Ste 1026
Mesa, AZ 85206-6202 - Phone
- (208) 320-4801
- NPI assigned
- Sep 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Maricela Michelle Smith, PSY.D.
- Title
- Licensed Psychologist/Owner
- Phone
- (208) 320-4801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3707 E Southern Ave Ste 1026
Mesa, AZ 85206-6202
Mailing address
3707 E Southern Ave Ste 1026
Mesa, AZ 85206-6202
Phone (208) 320-4801
National Provider Directory
National Provider DirectoryLocations
3707 E Southern Ave
Ste 1026
Mesa, AZ 85206
Phone (208) 320-4801
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Gilbert, AZ
- NPI 1205611514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695686400000",
"number": "1609655844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE STE 1026",
"city": "MESA",
"state": "AZ",
"postal_code": "852066202",
"telephone_number": "208-320-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 E SOUTHERN AVE STE 1026",
"city": "MESA",
"state": "AZ",
"postal_code": "852066202",
"telephone_number": "208-320-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN HILLS PSYCHOLOGICAL SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-26",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MARICELA",
"authorized_official_middle_name": "MICHELLE",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "208-320-4801",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.