Organization Active NPI

Psychological & Consultation Services

  • Psychologist
  • Tempe, AZ
National Provider Identifier
1801271481
Registry record updated Jul 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3029 Issued in AZ
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

Updated by the provider on Jul 24, 2015

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,NPI 1447978515
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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.