Organization Active NPI

Integrative Psychotherapy and Assessment Services

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1699146910
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INTEGRATIVE PSYCHOTHERAPY AND ASSESSMENT SERVICES
Practice address
11024 N 28TH Dr
Suite 200
Phoenix, AZ 85029-4377
Phone
(602) 526-8315
NPI assigned
Oct 13, 2015
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Dr. Dawn Marie Byrd, PSY.D.NPI 1982902847
Title
Psychologist
Phone
(602) 526-8315

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)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

11024 N 28TH Dr
Suite 200
Phoenix, AZ 85029-4377

Mailing address

11024 N 28TH Dr
Suite 200
Phoenix, AZ 85029-4377
Phone (602) 526-8315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160308001071 AZ Part B Supplier - Clinic/Group Practice 4880990464 Receives reassigned benefits from 9 practitioners
Practice locations: Peoria, AZ; Phoenix, AZ

National Provider Directory

National Provider Directory

Locations

1136 E Harmony Ave
Mesa, AZ 85204
Phone (480) 470-0150

11024 N 28th Dr
Ste 200
Phoenix, AZ 85029
Phone (602) 526-8315

2102 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 526-8315

5030 S Mill Ave
Tempe, AZ 85282
Phone (480) 894-2823

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1699146910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "602-526-8315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11024 N 28TH DR",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294377",
            "telephone_number": "602-526-8315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PSYCHOTHERAPY AND ASSESSMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-526-8315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.