Active NPI
Rory B. Madden, Ed.D., PC
- Adult Mental Health Clinic/Center
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 1495
- Legal business name
- RORY B. MADDEN, ED.D., PC
- Practice address
- 7915 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098 - Phone
- (928) 699-4476
- NPI assigned
- Nov 17, 2009
- Last updated
- Nov 17, 2009
- 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
- Dr. Rory B. Madden, ED.D.
- Title
- Licensed Psychologist
- Phone
- (928) 699-4476
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 |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 1495 | AZ | Primary |
Addresses
Primary practice location
7915 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098
Mailing address
7915 N Paradise Canyon LN
Prescott Valley, AZ 86315-9098
Phone (928) 699-4476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1650 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 458-5447
1680 W Iron Springs Rd
Ste 103
Prescott, AZ 86305
Phone (928) 443-0661
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.
-
- Counseling Psychologist
- Prescott, AZ
- NPI 1245378595
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1841527546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 N PARADISE CANYON LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159098",
"telephone_number": "928-699-4476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 N PARADISE CANYON LN",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863159098",
"telephone_number": "928-699-4476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RORY B. MADDEN, ED.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "MADDEN",
"authorized_official_first_name": "RORY",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "928-699-4476",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "ED.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "AZ",
"license": "1495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.