Organization Active NPI

Psychotherapy Associates of Arizona, Inc.

  • Marriage & Family Therapist
  • Mesa, AZ
National Provider Identifier
1801668611
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PSYCHOTHERAPY ASSOCIATES OF ARIZONA, INC.
Practice address
2753 E Broadway Rd Ste 101-466
Mesa, AZ 85204-1579
Phone
(714) 225-8998
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Joshua Reish, LMFTNPI 1255623336
Title
Director
Phone
(714) 225-8998

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2753 E Broadway Rd Ste 101-466
Mesa, AZ 85204-1579

Mailing address

2753 E Broadway Rd Ste 101-466
Mesa, AZ 85204-1579

National Provider Directory

National Provider Directory

Locations

2753 E Broadway Rd
Ste 101466
Mesa, AZ 85204
Phone (714) 225-8998

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": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1801668611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2753 E BROADWAY RD STE 101-466",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 E BROADWAY RD STE 101-466",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041579",
            "telephone_number": "714-225-8998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY ASSOCIATES OF ARIZONA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "REISH",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-225-8998",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.