NPIMap

Individual provider Active NPI

Laurie Cessna, PSYD

  • Clinical Psychologist
  • Gilbert, AZ
National Provider Identifier
1730469768
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4919 Issued in AZ
Practice address
17421 S 147TH PL
Gilbert, AZ 85297-1613
Phone
(541) 788-1343
NPI assigned
Aug 22, 2011
Last updated
Jul 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 4919 AZ Primary

Addresses

Primary practice location

17421 S 147TH PL
Gilbert, AZ 85297-1613

Mailing address

17421 S 147TH PL
Gilbert, AZ 85297-1613
Phone (541) 788-1343

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TherapyAppointment Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4919AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cessna Psychological Services CurrentSince Aug 28, 2021 Accepting new patients
Bend Health Psychiatric Services Kansas, P.a. Past Accepting new patients
Bend Health Psychiatric Services New England PA Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1730469768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17421 S 147TH PL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971613",
            "telephone_number": "541-788-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 S 147TH PL",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852971613",
            "telephone_number": "541-788-1343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CESSNA",
        "first_name": "LAURIE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TherapyAppointment",
            "affiliation": "N",
            "endpointDescription": "Secure HIPPA Compliant Web-based portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure HIPPA Compliant Web-based portal",
            "address_1": "17421 S 147th Pl",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852971613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.