Individual provider Active NPI

Dawn M Byrd, PSY.D.

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1982902847
Registry record updated Jul 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4664 Issued in AZ
Practice address
2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone
(602) 526-8315
Fax
(623) 207-6515
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4664 AZ Primary

Addresses

Primary practice location

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935

Mailing address

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone (602) 526-8315

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160308001237 AZ Practitioner - Clinical Psychologist 5799081378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative Psychotherapy and Assessment ServicesGroup PAC ID 4880990464, 6 clinicians

Practice addresses (Care Compare)

2102 W Bethany Home Rd
Phoenix, AZ 85015-1935
Phone (602) 774-4745

Merit-based Incentive Payment System (MIPS)

Final score
49.89 of 100Reported as individual
Quality
60.24
Improvement activities
0
Cost
69.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4664AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Psychotherapy and Assessment Services Psychologist CurrentSince Jan 11, 2016 Accepting new patients

Locations

1136 E Harmony Ave
Mesa, AZ 85204
Phone (480) 470-0150

1136 E Harmony Ave
Ste 202B
Mesa, AZ 85204
Phone (480) 501-9990

12740 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (480) 581-3600

2102 W Bethany Home Rd
Phoenix, AZ 85015
Phone (602) 526-8315

11024 N 28th Dr
Ste 200
Phoenix, AZ 85029
Phone (602) 332-6115

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500163200000",
    "number": "1982902847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151935",
            "telephone_number": "602-526-8315",
            "fax_number": "623-207-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 W BETHANY HOME RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151935",
            "telephone_number": "602-526-8315",
            "fax_number": "623-207-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "DAWN",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2017-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.