Organization Active NPI

Carrie Tremble, PH.D., PLLC

  • Adult Mental Health Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1932559598
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
LPC-16041 Issued in AZ
Legal business name
CARRIE TREMBLE, PH.D., PLLC
Practice address
3651 E Baseline Rd
Gilbert, AZ 85234-2689
Phone
(480) 269-5547
NPI assigned
Jun 15, 2016
Last updated
Jun 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Authorized official

Name
Dr. Carrie J Tremble, PH.D., LPC
Title
Owner
Phone
(269) 598-2748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X LPC-16041 AZ Primary

Addresses

Primary practice location

3651 E Baseline Rd
Gilbert, AZ 85234-2689

Mailing address

4848 N Goldwater Blvd Unit 4054
Scottsdale, AZ 85251-1054
Phone (269) 598-2748

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465948800000",
    "number": "1932559598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 N GOLDWATER BLVD UNIT 4054",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852511054",
            "telephone_number": "269-598-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342689",
            "telephone_number": "480-269-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIE TREMBLE, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2016-06-15",
        "status": "A",
        "authorized_official_last_name": "TREMBLE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-598-2748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "LPC-16041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2016; 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.