Active NPI
Psychological & Consultation Services
- Psychologist
- Tempe, AZ
National Provider Identifier
1801271481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3029
- Legal business name
- PSYCHOLOGICAL & CONSULTATION SERVICES
- Practice address
- 414 S Mill Ave
Suite 210
Tempe, AZ 85281-2845 - Phone
- (602) 402-9042
- Fax
- (480) 829-9237
- NPI assigned
- Jul 24, 2015
- 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. Gregory Neil Shrader, PH.D,
- Title
- Psychologist
- Phone
- (602) 402-9042
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3029 | AZ | Primary |
Addresses
Primary practice location
414 S Mill Ave
Suite 210
Tempe, AZ 85281-2845
Mailing address
414 S Mill Ave
Suite 210
Tempe, AZ 85281-2845
Phone (602) 402-9042
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Locations
414 S Mill Ave
Ste 210
Tempe, AZ 85281
Phone (480) 248-1726
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Tempe, AZ
- NPI 1447978515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437696000000",
"number": "1801271481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 S MILL AVE",
"address_2": "SUITE 210",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852812845",
"telephone_number": "602-402-9042",
"fax_number": "480-829-9237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 S MILL AVE",
"address_2": "SUITE 210",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852812845",
"telephone_number": "602-402-9042",
"fax_number": "480-829-9237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOLOGICAL & CONSULTATION SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-24",
"last_updated": "2015-07-24",
"status": "A",
"authorized_official_last_name": "SHRADER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "NEIL",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "602-402-9042",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D,"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "AZ",
"license": "3029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.