PARADISE COUNSELING & CONSULTATION CENTER PC
NPI 1376701508
Psychologist - Clinical in Phoenix, AZ

Active since May 23, 2008
11020 N TATUM BLVD, PHOENIX, AZ 85028(602) 996-8619(602) 996-7932 Get Directions Write a Review

NPPES record last updated: May 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paradise Counseling & Consultation Center Pc NPPES

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

PARADISE COUNSELING & CONSULTATION CENTER PC (NPI 1376701508) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since May 2008. The organization lists Martin E Keller, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1376701508
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NamePARADISE COUNSELING & CONSULTATION CENTER PC
Location Address11020 N TATUM BLVDPhoenix, AZ 85028-6072
Mailing Address11020 N Tatum BlvdPhoenix, AZ 85028-6072 · (602) 996-8619 · Fax (602) 996-7932
Fax(602) 996-7932
Organization SubpartNo
Authorized OfficialMartin E KellerPsychologist · (602) 996-8619
Enumeration DateMay 23, 2008
NPI 1376701508 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 · 503
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.
11020 N TATUM BLVD, Phoenix, AZ 85028

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

Other Providers at the Same Location NPPES 13

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
11020 N TATUM BLVD, #100
PHX, AZ 85028
Counselor (Professional)
11020 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85028
Psychologist
11020 N TATUM BLVD, STE.100
PHOENIX, AZ 85028
Counselor
11020 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85028
Psychologist (Clinical)
11020 N TATUM BLVD, SUITE 100
PHOENIX, AZ 85028
Social Worker (Clinical)
11020 N TATUM BLVD
PHOENIX, AZ 85028
Counselor (Mental Health)
11020 N TATUM BLVD
PHOENIX, AZ 85028
Psychologist (Clinical)
11020 N TATUM BLVD
PHOENIX, AZ 85028

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 Paradise Counseling & Consultation Center PC's NPI number?

The NPI number for Paradise Counseling & Consultation Center PC is 1376701508. It was assigned to this organization in the NPPES registry on May 23, 2008.

Where is Paradise Counseling & Consultation Center PC located?

Paradise Counseling & Consultation Center PC is located at 11020 N Tatum Blvd, Phoenix, AZ 85028. The listed phone number is (602) 996-8619.

What is Paradise Counseling & Consultation Center PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Paradise Counseling & Consultation Center PC was last updated on May 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.