NPIMap

Organization Active NPI

Raymond W Lemberg PHD PC

Doing business as Psychological Pahtways

  • Psychologist
  • Glendale, AZ
National Provider Identifier
1710162888
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
658 Issued in AZ
Legal business name
RAYMOND W LEMBERG PHD PC
Doing business as
Psychological Pahtways
Practice address
20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624
Phone
(844) 385-3747
Fax
(480) 462-2801
NPI assigned
Jan 8, 2008
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Raymond Walter Lemberg, PHDNPI 1538230941
Title
President
Phone
(928) 776-7885

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 658 AZ Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 0643 AZ

Addresses

Primary practice location

20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624

Mailing address

2414 W Old Paint TRL
Phoenix, AZ 85086-6608
Phone (928) 776-7885

Other practice location 1

17235 N 75th Ave Ste F135
Glendale, AZ 85308-0825
Phone (844) 385-3747

Other practice location 2

2500 S Power Rd Ste 103
Mesa, AZ 85209-6687
Phone (844) 385-3747

Other practice location 3

930 N Switzer Canyon Dr Ste 103
Flagstaff, AZ 86001-4834
Phone (844) 385-3747

Other practice location 4

2820 N Glassford Rd #108
Prescott Valley, AZ 86314-2256
Phone (844) 385-3747

Other names 1

  • Psychological Pahtways Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051003000131 AZ Part B Supplier - Clinic/Group Practice 3375578917 Receives reassigned benefits from 39 practitioners
Practice locations: Glendale, AZ; Prescott Valley, AZ; Prescott, AZ; Mesa, AZ; Flagstaff, AZ

National Provider Directory

National Provider Directory
Tax ID family
Psychological Pahtways2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

930 N Switzer Canyon Dr
Ste 103
Flagstaff, AZ 86001
Phone (844) 385-3747

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

Practitioners & affiliated clinicians

Practitioners 59

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 59

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1710162888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 W OLD PAINT TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850866608",
            "telephone_number": "928-776-7885",
            "fax_number": "928-445-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084624",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17235 N 75th Ave Ste F135",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853080825",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S Power Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852096687",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 N Switzer Canyon Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860014834",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 N Glassford Rd #108",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142256",
            "country_code": "US",
            "telephone_number": "844-385-3747",
            "fax_number": "480-462-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAYMOND W LEMBERG PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "LEMBERG",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-776-7885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "658",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "0643",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychological Pahtways",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Psychological Pahtways",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.