Organization Active NPI

Rory B. Madden, Ed.D., PC

  • Adult Mental Health Clinic/Center
  • Prescott Valley, AZ
National Provider Identifier
1841527546
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
1495 Issued in AZ
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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.NPI 1245378595
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20091207000226 AZ Part B Supplier - Clinic/Group Practice 8729127600 Receives reassigned benefits from 1 practitioner
Practice locations: Prescott, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.