Rita Joan Archambault, PHD

Key facts

NPI

1700801545

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

LPC-11069 (AZ)

Practice address

1150 S Forest Ave
Tempe, AZ 85287-1162

Phone

(480) 965-6147

Fax

(480) 965-3426

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Doctor of Philosophy

State licenses

Specialties & licenses

Addresses

Other names

• Rita Joan Watry Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700801545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5199",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796085199",
            "telephone_number": "866-890-6390",
            "fax_number": "325-437-8390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S FOREST AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852871162",
            "telephone_number": "480-965-6147",
            "fax_number": "480-965-3426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHAMBAULT",
        "first_name": "RITA",
        "middle_name": "JOAN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-11069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RITA",
            "last_name": "WATRY",
            "middle_name": "JOAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

• Ar Cranial Prosthesis LLC
• Wendy L. Aragaki, FNP-C
• Araki Psychological Services, PLLC
• Amanda Araki
• Jessica Aranda, RDH
• Marlo J Archer, PH.D.
• Arches Behavioral Health Center
• Christiana Archibong
• Ranna Ardebili, PHARM D.
• Angela Arellano

All providers in Tempe, AZ · Professional Counselor in Arizona