Individual provider Active NPI

Paul A Meyer, PSY.D.

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1841250628
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3487 Issued in AZ
Practice address
303 N Centennial Way
Mesa, AZ 85201-6733
Phone
(480) 649-3111
Fax
(602) 649-3113
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3487 AZ Primary

Addresses

Primary practice location

303 N Centennial Way
Mesa, AZ 85201-6733

Mailing address

303 N Centennial Way
Mesa, AZ 85201-6733
Phone (480) 649-3111

Other identifiers 1

IdentifierTypeStateIssuer
644098MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000733 AZ Practitioner - Clinical Psychologist 6305805250 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

606 N Country Club Dr
Suite 1
Mesa, AZ 85201-5700
Phone (480) 963-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3487AZMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
Phoenician Medical Center, Inc CurrentSince Nov 4, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Sep 13, 2013 Accepting new patients
Phoenix Neurological Institute, Inc CurrentSince Nov 4, 2019 Accepting new patients
District Medical Group, Inc CurrentSince Sep 13, 2013 Accepting new patients
Banner Behavioral Health - East Valley Past Accepting new patients
District Medical Group, Inc Past Accepting new patients
Banner Psychological Services Past Accepting new patients
Banner Heart Hospital Past Accepting new patients

Locations

1968 N Peart Rd
Ste 3
Casa Grande, AZ 85122
Phone (480) 930-7606

1343 N Alma School Rd
Ste 125135
Chandler, AZ 85224

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Ste 295
Chandler, AZ 85224
Phone (480) 496-2869

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

726 N Greenfield Rd
Ste 110
Gilbert, AZ 85234
Phone (480) 834-8885

6677 W Thunderbird Rd
Ste C142
Glendale, AZ 85306
Phone (623) 247-1081

6677 W Thunderbird Rd
Ste 142
Glendale, AZ 85306

303 N Centennial Way
Mesa, AZ 85201
Phone (480) 649-3111

606 N Country Club Dr
Ste 5
Mesa, AZ 85201

606 N Country Club Dr
Ste 1
Mesa, AZ 85201
Phone (480) 969-3511

4858 E Baseline Rd
Ste 107
Mesa, AZ 85206
Phone (480) 807-6500

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

6707 N 19th Ave
Ste 220
Phoenix, AZ 85015
Phone (602) 242-9218

2226 W Northern Ave
Ste C212
Phoenix, AZ 85021
Phone (480) 444-7491

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2330 N 75th Ave
Ste 108
Phoenix, AZ 85035
Phone (623) 247-5700

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1841250628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-649-3111",
            "fax_number": "602-649-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N CENTENNIAL WAY",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016733",
            "telephone_number": "480-649-3111",
            "fax_number": "602-649-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "644098",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.