Organization Active NPI

Growing Minds Assessment Center PLLC

  • Clinical Psychologist
  • Chandler, AZ
National Provider Identifier
1942050851
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GROWING MINDS ASSESSMENT CENTER PLLC
Practice address
1600 W Chandler Blvd Ste 260
Chandler, AZ 85224-6179
Phone
(480) 605-0413
Fax
(480) 916-1686
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Sharon Mieras Perugini, PHDNPI 1619187259
Title
Psychologist/Owner
Phone
(480) 605-0413

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

1600 W Chandler Blvd Ste 260
Chandler, AZ 85224-6179

Mailing address

PO Box 7595
Chandler, AZ 85246-7595
Phone (480) 605-0413

National Provider Directory

National Provider Directory

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1942050851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7595",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467595",
            "telephone_number": "480-605-0413",
            "fax_number": "480-916-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W CHANDLER BLVD STE 260",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852246179",
            "telephone_number": "480-605-0413",
            "fax_number": "480-916-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROWING MINDS ASSESSMENT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "PERUGINI",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MIERAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "480-605-0413",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Apr 1, 2024; 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.