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PARADISE COUNSELING & CONSULTATION CENTER PC NPI 1376701508


NPI Information

NPI: 1376701508
Provider Name: PARADISE COUNSELING & CONSULTATION CENTER PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
11020 N TATUM BLVD
PHOENIX, AZ
ZIP 85028
Phone: (602) 996-8619
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PARADISE COUNSELING & CONSULTATION CENTER PC is a clinical psychologist in Phoenix, AZ. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PARADISE COUNSELING & CONSULTATION CENTER PC NPI is 1376701508. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11020 N TATUM BLVD
PHOENIX, AZ
ZIP 85028-072
Phone: (602) 996-8619
Fax: (602) 996-7932

The provider's authorized official is Martin E Keller .
The authorized official title is Psychologist and has the following contact phone number (602) 996-8619.

The enumeration date for this NPI number is 5/23/2008 and was last updated on 5/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical503ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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