My Therapist Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LPC0757 Issued in AZ

Legal business name

MY THERAPIST INC

Practice address

2435 E Southern Ave
Ste 2
Tempe, AZ 85282

Phone

(480) 205-0062

Fax

(480) 775-2789

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Patricia L Bradley Bates, MED LPC LISAC

Title

President of My Therapist Inc

Phone

(480) 205-0062

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1922260082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE",
            "address_2": "STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-205-0062",
            "fax_number": "480-775-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 E SOUTHERN AVE",
            "address_2": "STE 2",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-205-0062",
            "fax_number": "480-775-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY THERAPIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "BRADLEY BATES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT OF MY THERAPIST INC",
        "authorized_official_telephone_number": "480-205-0062",
        "authorized_official_credential": "MED LPC LISAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LISAC0052",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LPC0757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.