Organization Active NPI

Dr Mary Palmquist PLLC

  • Community/Behavioral Health Agency
  • Mesa, AZ
National Provider Identifier
1720247240
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3952 Issued in AZ
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

Updated by the provider on Jun 9, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

Other providers in Mesa, AZ

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.

Verify at the official NPI Registry.