Supportive Psychological Services PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3903 Issued in AZ

Legal business name

SUPPORTIVE PSYCHOLOGICAL SERVICES PLLC

Practice address

5935 E Cambridge Ave
Scottsdale, AZ 85257-1019

Phone

(602) 717-2589

Fax

(480) 675-0242

NPI assigned

Oct 7, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marilyn S Cabay, PHDNPI 1417007816

Title

Owner/Psychologist

Phone

(602) 717-2589

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marilyn S. Cabay, PH.D.

  • Psychologist
  • Scottsdale, AZ
  • NPI 1417007816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381104000000",
    "number": "1831526789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 E CAMBRIDGE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571019",
            "telephone_number": "602-717-2589",
            "fax_number": "480-675-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 E CAMBRIDGE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852571019",
            "telephone_number": "602-717-2589",
            "fax_number": "480-675-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-07",
        "last_updated": "2013-10-07",
        "status": "A",
        "authorized_official_last_name": "CABAY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-717-2589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.

Verify at the official NPI Registry.