Active NPI
Lise Flores-Reed, PHD, PLLC
- Clinical Psychologist
- Glendale, AZ
National Provider Identifier
1851613368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4077
- Legal business name
- LISE FLORES-REED, PHD, PLLC
- Practice address
- 17235 N 75TH Ave
Glendale, AZ 85308-0831 - Phone
- (623) 486-3001
- Fax
- (623) 486-1636
- NPI assigned
- Feb 25, 2010
- 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. Maria Lise Flores-Reed, PHD
- Title
- Owner
- Phone
- (623) 486-3001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4077 | AZ | Primary |
Addresses
Primary practice location
17235 N 75TH Ave
Glendale, AZ 85308-0831
Mailing address
17235 N 75TH Ave
Glendale, AZ 85308-0831
Phone (623) 486-3001
National Provider Directory
National Provider DirectoryLocations
17235 N 75th Ave
Glendale, AZ 85308
Phone (480) 812-4789
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1267056000000",
"number": "1851613368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17235 N 75TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080831",
"telephone_number": "623-486-3001",
"fax_number": "623-486-1636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17235 N 75TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853080831",
"telephone_number": "623-486-3001",
"fax_number": "623-486-1636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISE FLORES-REED, PHD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-25",
"last_updated": "2010-02-25",
"status": "A",
"authorized_official_last_name": "FLORES-REED",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "LISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-486-3001",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "4077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.