Active NPI
Dr Mary Palmquist PLLC
- Community/Behavioral Health Agency
- Mesa, AZ
National Provider Identifier
1720247240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3952
- Legal business name
- DR MARY PALMQUIST PLLC
- Practice address
- 1237 S Val Vista Dr
Val Vista Executive Suites
Mesa, AZ 85204-6401 - Phone
- (480) 844-5125
- NPI assigned
- Jun 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Palmquist, PHD
- Title
- President/Psychologist
- Phone
- (480) 310-2810
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3952 | AZ | Primary |
Addresses
Primary practice location
1237 S Val Vista Dr
Val Vista Executive Suites
Mesa, AZ 85204-6401
Mailing address
6040 E Main St
405
Mesa, AZ 85205-8928
Phone (480) 310-2810
National Provider Directory
National Provider DirectoryLocations
6040 E Main St
#405
Mesa, AZ 85205
Phone (480) 310-2810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1720247240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 E MAIN ST",
"address_2": "405",
"city": "MESA",
"state": "AZ",
"postal_code": "852058928",
"telephone_number": "480-310-2810",
"fax_number": "480-284-5425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 S VAL VISTA DR",
"address_2": "VAL VISTA EXECUTIVE SUITES",
"city": "MESA",
"state": "AZ",
"postal_code": "852046401",
"telephone_number": "480-844-5125"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR MARY PALMQUIST PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-09",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "PALMQUIST",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
"authorized_official_telephone_number": "480-310-2810",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "3952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.