Organization Active NPI

One Psychological Services

  • Psychologist
  • Prescott Valley, AZ
National Provider Identifier
1790603470
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ONE PSYCHOLOGICAL SERVICES
Practice address
8652 E Eastridge Rd Ste 201
Prescott Valley, AZ 86314-9464
Phone
(928) 830-2410
Fax
(866) 560-2226
NPI assigned
Jul 9, 2026
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Dr. Andrea Annibale, PSYDNPI 1528795721
Title
Clinical Psychologist/Owner
Phone
(928) 642-8575

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

8652 E Eastridge Rd Ste 201
Prescott Valley, AZ 86314-9464

Mailing address

8652 E Eastridge Rd Ste 201
Prescott Valley, AZ 86314-9464
Phone (928) 830-2410

National Provider Directory

National Provider Directory

Locations

8652 E Eastridge Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 830-2410

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1790603470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8652 E EASTRIDGE RD STE 201",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149464",
            "telephone_number": "928-830-2410",
            "fax_number": "866-560-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8652 E EASTRIDGE RD STE 201",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149464",
            "telephone_number": "928-830-2410",
            "fax_number": "866-560-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ANNIBALE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "928-642-8575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.