NPIMap

Organization Active NPI

International Counseling and Psychological Services, LLC

  • Psychologist
  • Chandler, AZ
National Provider Identifier
1881064087
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4097 Issued in AZ
Legal business name
INTERNATIONAL COUNSELING AND PSYCHOLOGICAL SERVICES, LLC
Practice address
3200 N Dobson Rd Ste D-3
Chandler, AZ 85224-9610
Phone
(480) 721-4880
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Dr. Maki Obana, PH.D.NPI 1255650594
Title
Licensed Psychologist
Phone
(480) 721-4880

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
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4097 AZ Primary

Addresses

Primary practice location

3200 N Dobson Rd Ste D-3
Chandler, AZ 85224-9610

Mailing address

1900 W Chandler Blvd Ste 15-212
Chandler, AZ 85224-6211
Phone (480) 721-4880

National Provider Directory

National Provider Directory

Locations

1900 W Chandler Blvd
Ste 15212
Chandler, AZ 85224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1881064087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CHANDLER BLVD STE 15-212",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246211",
            "telephone_number": "480-721-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD STE D-3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249610",
            "telephone_number": "480-721-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "OBANA",
        "authorized_official_first_name": "MAKI",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-721-4880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.