Arizona Psychological and Community Support

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ARIZONA PSYCHOLOGICAL AND COMMUNITY SUPPORT

Practice address

21630 N 19TH Ave Ste B17
Phoenix, AZ 85027-2715

Phone

(602) 626-2018

NPI assigned

Aug 5, 2019

Last updated

Aug 5, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christine BreuerNPI 1558880682

Title

President

Phone

(602) 525-2018

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christine Breuer, PHD

  • Psychologist
  • Phoenix, AZ
  • NPI 1558880682
  NPD Authorized official

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564963200000",
    "number": "1639724891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272715",
            "telephone_number": "602-626-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B17",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272715",
            "telephone_number": "602-626-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PSYCHOLOGICAL AND COMMUNITY SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A",
        "authorized_official_last_name": "BREUER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-525-2018",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.