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EAST VALLEY CHILD PSYCHOLOGY
NPI 1003469057
Clinic/Center - Adolescent and Children Mental Health in Mesa, AZ

Active since July 18, 2019
1910 S STAPLEY DR STE 221, MESA, AZ 85204(480) 202-1285 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Valley Child Psychology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VALLEY CHILD PSYCHOLOGY (NPI 1003469057) is a healthcare organization registered as an adolescent and children mental health in Mesa, Arizona and active in the NPI registry since July 2019. The organization lists Madison Knight, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1003469057
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEAST VALLEY CHILD PSYCHOLOGY
Location Address1910 S STAPLEY DR STE 221Mesa, AZ 85204-6680
Mailing Address3331 S Huachuca WayChandler, AZ 85286-0094
Phone(480) 202-1285
Organization SubpartNo
Authorized OfficialMadison KnightLicensed Psychologist · (480) 202-1285
Enumeration DateJuly 18, 2019
✔ NPI 1003469057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
1910 S STAPLEY DR STE 221, Mesa, AZ 85204
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHOSHANA D. BERAN PSYD
Psychologist (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (914) 362-1083
HEATHER L MAIN ADMINISTRATOR, OWNER
Case Manager/Care Coordinator
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (480) 573-2269
EMMA MEYERS
Dietitian, Registered
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (602) 883-7430
MICHELLE AGUILAR SLPA
Specialist/Technologist (Speech-Language Assistant)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (602) 885-9660
THRYVE THERAPY LLC
Social Worker (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (480) 510-4967
PRISCILA TAFOLLA
Specialist/Technologist (Speech-Language Assistant)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (480) 207-5975
REBECKA PARKER
Social Worker (Clinical)
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (385) 449-1618
SIMPLY ROOTED SPEECH & WELLNESS LLC
Speech-Language Pathologist
1910 S STAPLEY DR STE 221
MESA, AZ 85204
Maricopa County (480) 573-2262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Valley Child Psychology's NPI number?

The NPI number for East Valley Child Psychology is 1003469057. It was assigned to this organization in the NPPES registry on July 18, 2019.

Where is East Valley Child Psychology located?

East Valley Child Psychology is located at 1910 S Stapley Dr Ste 221, Mesa, AZ 85204. The listed phone number is (480) 202-1285.

What is East Valley Child Psychology's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for East Valley Child Psychology was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.