GROWING EDGES LLC
NPI 1073739660
Psychologist - Clinical in Buckeye, AZ

Q: What is Growing Edges LLC's NPI number?

The NPI number for Growing Edges LLC is 1073739660. It was assigned to this organization in the NPPES registry on April 18, 2007.

Q: What is Growing Edges LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Growing Edges LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since April 18, 2007

20779 W SAN MIGUEL AVE, BUCKEYE, AZ 85396(602) 980-9313(602) 548-1446 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Apr 3, 2025, Sep 21, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Growing Edges Llc NPPES

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

GROWING EDGES LLC (NPI 1073739660) is a healthcare organization registered as a clinical in Buckeye, Arizona and active in the NPI registry since April 2007. The organization lists Ilyssa Swartout, President, as its authorized official.

NPPES Registry Identity

NPI1073739660

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameGROWING EDGES LLC

Location Address20779 W SAN MIGUEL AVEBuckeye, AZ 85396-4609

Mailing Address19580 W Indian School Rd Ste 105-134Buckeye, AZ 85396-2081 · (602) 548-1444 · Fax (602) 548-1446

Phone(602) 980-9313

Fax(602) 548-1446

Organization SubpartNo

Authorized OfficialIlyssa SwartoutPresident · (602) 980-9313

Enumeration DateApril 18, 2007

Last NPPES UpdateApril 9, 20255 updates tracked since enumeration

NPPES CertifiedApril 9, 2025

✔ NPI 1073739660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

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.

20779 W SAN MIGUEL AVE, Buckeye, AZ 85396

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Growing Edges Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Growing Edges LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ilyssa Swartout, PSY.D.

Clinical Psychologist

NPI 1881630325

20779 W SAN MIGUEL AVE
Buckeye, AZ 85396

(602) 980-9313

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Growing Edges LLC's NPI number?

The NPI number for Growing Edges LLC is 1073739660. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Growing Edges LLC located?

Growing Edges LLC is located at 20779 W San Miguel Ave, Buckeye, AZ 85396. The listed phone number is (602) 980-9313.

What is Growing Edges LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Growing Edges LLC enrolled in Medicare?

Yes. Growing Edges LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Growing Edges LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Growing Edges LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Growing Edges LLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.