TERRELL DONNELL PICKETT NPI 1033636691

NPI Information

NPI: 1033636691
Provider Name: TERRELL DONNELL PICKETT
Classification: Psychologist - 103TA0400X
Specialization: Addiction (Substance Use Disorder)
Entity Type: Individual
Address: 22490 N VANDERVEEN WAY
MARICOPA, AZ
ZIP 85138
Phone: (623) 826-4195

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NPI Details

Terrell Donnell Pickett is an addiction (substance use disorder) psychologist in Maricopa, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Terrell Donnell Pickett NPI is 1033636691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

22490 N VANDERVEEN WAY
MARICOPA, AZ
ZIP 85138-569
Phone: (623) 826-4195
Fax: (602) 279-1431

The enumeration date for this NPI number is 8/24/2017 and was last updated on 2/6/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103TE1100X	Psychologist	Exercise & Sports	No
2	103TF0000X	Psychologist	Family	No
3	171M00000X	Case Manager/Care Coordinator		No
4	172V00000X	Community Health Worker		No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6426468	OTHER	ARIZONA	DCS/OLR

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: 3/30/2025

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