Megan Wiley-Carrizo, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-005498 Issued in AZ

Practice address

1001 E Rose LN
Phoenix, AZ 85014-1662

Phone

(480) 296-1099

NPI assigned

Sep 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Megan Wiley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1992426407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 E ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141662",
            "telephone_number": "480-296-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E ROSE LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141662",
            "telephone_number": "480-296-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY-CARRIZO",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-05",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "WILEY",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dennis Craig Wildermuth, DO
• Wildflower Urgent Psychiatric Services
• Gina Wilding, CNM, WHNP-BC
• Jared Luke Wileman, PHARM. D.
• Tiffany Lorraine Wiles, FNP
• Katelyn Annette Wiley, MSW
• Sandra Wiley, LCSW
• Tom Wiley
• Angus Wilfong, MD
• Michelle Suzanne Wilhardt, PHARMD

• Clinical Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; 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.