Active NPI
East Valley Behavioral Health, LLC
- Psychologist
- Chandler, AZ
National Provider Identifier
1962314773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- EAST VALLEY BEHAVIORAL HEALTH, LLC
- Practice address
- 3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472 - Phone
- (480) 907-8509
- NPI assigned
- Sep 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Melissa Wagner, PHD
- Title
- Owner/Member
- Phone
- (480) 907-8509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Mailing address
3100 W Ray Rd Ste 201
Chandler, AZ 85226-2472
Phone (480) 907-8509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789689600000",
"number": "1962314773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W RAY RD STE 201",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262472",
"telephone_number": "480-907-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 W RAY RD STE 201",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262472",
"telephone_number": "480-907-8509"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST VALLEY BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-08",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "480-907-8509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- E-Nah Solutions, LLC
- Bethany L Early, PT, DPT
- East Riggs Dental LLC (Canyon State Dental)
- East Valley Ambulatory Surgical Center, LLC
- East Valley Anesthesia, LLC
- East Valley Cardiology, LTD (East Valley Cardiology)
- East Valley Counseling Company
- East Valley Dermatology Center
- East Valley Dermatology RX, LLC
- East Valley Family Physicians PLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.