Maitri Wellness, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MAITRI WELLNESS, PLLC

Practice address

1431 W Magee Rd
Tucson, AZ 85704-2116

Phone

(520) 262-0787

Fax

(520) 244-1681

NPI assigned

Apr 9, 2020

Organization subpart

No

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

Authorized official

Name

Susan Proebsting, PHDNPI 1306242698

Title

Owner

Phone

(520) 262-0787

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Adams Proebsting, PH.D.

  • Clinical Psychologist
  • Tucson, AZ
  • NPI 1306242698
  NPD Authorized official

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

{
    "created_epoch": "1586390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586390400000",
    "number": "1629697644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E AVENIDA DE POSADA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857183057",
            "telephone_number": "520-262-0787",
            "fax_number": "520-244-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042116",
            "telephone_number": "520-262-0787",
            "fax_number": "520-244-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAITRI WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-09",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A",
        "authorized_official_last_name": "PROEBSTING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-262-0787",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Mainman, MD
• George O Maish III, MD
• Norma Ester Maisonet
• Ashley Michele Maitland, DO
• Nina Maitra
• Victoria H Maizes, MD
• Jennifer Majalca, RN
• Aneela Majeed, MBBS
• Okongo Thomas Majok, CCP
• Michelle Major-Katz, PT

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.