Active NPI
Anna Dakessian-Titus, PHD
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1760876320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4550
- Practice address
- 300 W Clarendon Ave
Suite 470
Phoenix, AZ 85013-3420 - Phone
- (602) 314-4475
- NPI assigned
- Mar 22, 2015
- Last updated
- Mar 22, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4550 | AZ | Primary |
Addresses
Primary practice location
300 W Clarendon Ave
Suite 470
Phoenix, AZ 85013-3420
Mailing address
PO Box 9268
Phoenix, AZ 85068-9268
Phone (602) 314-4475
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4550 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosalia Noemi Pereyra | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1426982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426982400000",
"number": "1760876320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9268",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850689268",
"telephone_number": "602-314-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W CLARENDON AVE",
"address_2": "SUITE 470",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850133420",
"telephone_number": "602-314-4475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKESSIAN-TITUS",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-22",
"last_updated": "2015-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.