Active NPI
Allison O'Mara, PSYD
- Psychologist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005037
- Practice address
- 500 W Thomas Rd Ste 230
Phoenix, AZ 85013-4245 - Phone
- (602) 406-9999
- Fax
- (602) 406-8099
- NPI assigned
- Feb 9, 2009
- Last updated
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-005037 | AZ | Primary |
| Music Therapist | 225A00000X | NU |
Addresses
Primary practice location
500 W Thomas Rd Ste 230
Phoenix, AZ 85013-4245
Mailing address
PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1300 N 12TH St
Suite 320
Phoenix, AZ 85006-2858
Phone (602) 839-6800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Pamela S Klonoff PHD PLLC | Current | Accepting new patients | |
| Banner - University Physician Specialists LLC | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000
1300 N 12th St
Ste 320
Phoenix, AZ 85006
Phone (602) 521-3050
1300 N 12th St
Ste 508
Phoenix, AZ 85006
Phone (602) 839-3927
222 W Thomas Rd
Ste 401
Phoenix, AZ 85013
Phone (602) 406-3473
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1437529245
-
- Multi-Specialty Clinic/Center
- Maricopa, AZ
- NPI 1063887727
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1164255865
-
- Clinical Neuropsychologist
- Phoenix, AZ
- NPI 1336112093
-
dba Mercy Medical Center Redding
- General Acute Care Hospital
- Redding, CA
- NPI 1477671535
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1982843355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33269",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850673269",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850134245",
"telephone_number": "602-406-9999",
"fax_number": "602-406-8099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'MARA",
"first_name": "ALLISON",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-09",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005037",
"primary": true
},
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.