Active NPI
Amy Suzanne King, MA
- Marriage & Family Therapist
- Mesa, AZ
National Provider Identifier
1972712206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT0469
- Practice address
- 43 E 1St Ave
Mesa, AZ 85210-1446 - Phone
- (480) 610-6996
- Fax
- (480) 610-1502
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT0469 | AZ | Primary |
Addresses
Primary practice location
43 E 1St Ave
Mesa, AZ 85210-1446
Mailing address
3507 N 63Rd PL
Scottsdale, AZ 85251-7708
Phone (480) 610-6996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT0469 | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972712206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3507 N 63RD PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517708",
"telephone_number": "480-610-6996",
"fax_number": "480-610-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 E 1ST AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852101446",
"telephone_number": "480-610-6996",
"fax_number": "480-610-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AMY",
"middle_name": "SUZANNE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "MFT0469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.