Active NPI
Stride Psychological Services
- Community/Behavioral Health Agency
- Tempe, AZ
National Provider Identifier
1811232721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 4312
- Legal business name
- STRIDE PSYCHOLOGICAL SERVICES
- Practice address
- 2600 E Southern Ave Ste C3
Tempe, AZ 85282-7609 - Phone
- (480) 839-6264
- NPI assigned
- Dec 4, 2012
- Last updated
- Dec 4, 2012
- 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
- Mary C Oakley, PSY.D.
- Title
- Clinical Psychologist
- Phone
- (602) 478-2963
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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 4312 | AZ | Primary |
Addresses
Primary practice location
2600 E Southern Ave Ste C3
Tempe, AZ 85282-7609
Mailing address
2600 E Southern Ave Ste C3
Tempe, AZ 85282-7609
Phone (480) 839-6264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2600 E Southern Ave
Ste C3
Tempe, AZ 85282
Phone (480) 839-6264
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Psychologist
- Tolleson, AZ
- NPI 1912256173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1354579200000",
"number": "1811232721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE STE C3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827609",
"telephone_number": "480-839-6264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E SOUTHERN AVE STE C3",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852827609",
"telephone_number": "480-839-6264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDE PSYCHOLOGICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-04",
"last_updated": "2012-12-04",
"status": "A",
"authorized_official_last_name": "OAKLEY",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "602-478-2963",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "4312",
"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 Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.