Organization Active NPI

Lise Flores-Reed, PHD, PLLC

  • Clinical Psychologist
  • Glendale, AZ
National Provider Identifier
1851613368
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4077 Issued in AZ
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

Updated by the provider on Feb 25, 2010

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.