DR. MAHSAW ELICIA NADEMIN PHD
NPI 1205075413
Psychologist - Clinical in Phoenix, AZ

Active since February 11, 2009Opted out of Medicare · through Apr 1, 2027
3040 E CACTUS RD, SUITE 6, PHOENIX, AZ 85032(480) 221-8816(602) 494-3131 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mahsaw Elicia Nademin Phd NPPES

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

DR. MAHSAW ELICIA NADEMIN PHD (NPI 1205075413) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (4018) and active in the NPI registry since February 2009. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1205075413
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MAHSAW ELICIA NADEMINCredential: PHD
Location Address3040 E CACTUS RD, SUITE 6Phoenix, AZ 85032-7196
Mailing Address3040 E Cactus Rd, Suite 6Phoenix, AZ 85032-7196 · (480) 221-8816 · Fax (602) 494-3131
Fax(602) 494-3131
Sole ProprietorYes
Enumeration DateFebruary 11, 2009
Last NPPES UpdateNovember 22, 2010
NPI 1205075413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in AZ · 4018
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.

3040 E CACTUS RD, Phoenix, AZ 85032

Other Names 1

Other Name (5)Elicia Mahsaw Nademin Phd

Other Identifiers 2

Medicaid406229AZ
Medicare PINZ127931AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Mahsaw Elicia Nademin Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Psychologist
3040 E CACTUS RD, SUITE A
PHOENIX, AZ 85032
Psychologist
3040 E CACTUS RD, SUITE A
PHOENIX, AZ 85032
Clinic/Center (Adult Mental Health)
3040 E CACTUS RD, SUITE A
PHOENIX, AZ 85032

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 Mahsaw Nademin's NPI number?

The NPI number for Mahsaw Nademin is 1205075413. It was assigned to this individual provider in the NPPES registry on February 11, 2009. The provider is also known as Elicia Mahsaw Nademin Phd.

Where is Mahsaw Nademin located?

Mahsaw Nademin practices at 3040 E Cactus Rd Suite 6, Phoenix, AZ 85032. The listed phone number is (480) 221-8816.

What is Mahsaw Nademin's specialty?

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

Is Mahsaw Nademin enrolled in Medicare?

No. Mahsaw Nademin has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mahsaw Nademin was last updated on November 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.