Mary Christine Oakley, PSY.D., CC-AASP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

12491 Issued in AZ

Practice address

9 N 87TH Dr
Tolleson, AZ 85353-1341

Phone

(602) 478-2963

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mary Entsminger Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stride Psychological Services

  • Community/Behavioral Health Agency
  • Tempe, AZ
  • NPI 1811232721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1912256173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N 87TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531341",
            "telephone_number": "602-478-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N 87TH DR",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531341",
            "telephone_number": "602-478-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKLEY",
        "first_name": "MARY",
        "middle_name": "CHRISTINE",
        "credential": "PSY.D., CC-AASP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "12491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ENTSMINGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thuy Tien Nguyen, DDS
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• Nutriwellness4Life, LLC
• Maria Nkogo Obono
• Kristen Ordener
• Marianna Orig-Stevens, P.T.
• Daniel Ryan Otis, PHARM.D
• Mayra Pacheco

• Clinical Psychologist in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.