Arizona Psychology and Wellness PLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4826 Issued in AZ

Legal business name

ARIZONA PSYCHOLOGY AND WELLNESS PLC

Practice address

9855 S Priest Dr Ste 102
Tempe, AZ 85284-3605

Phone

(480) 430-6346

NPI assigned

Mar 7, 2017

Last updated

Feb 15, 2018By 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

Maureen Kim KeavenyNPI 1669912960

Title

Psychologist

Phone

(480) 430-6346

Specialties & licenses 3

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.

• Maureen Keaveny, PH.D.

  • Psychologist
  • Tempe, AZ
  • NPI 1669912960
  Authorized official Same address or phone

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1689114878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9855 S PRIEST DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843605",
            "telephone_number": "480-430-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 S PRIEST DR STE 102",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843605",
            "telephone_number": "480-430-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA PSYCHOLOGY AND WELLNESS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "KEAVENY",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-430-6346"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4826",
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "4826",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "AZ",
            "license": "4826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.