SAN JUANA MENDOZA M.A.ED.S.
NPI 1467583666
Psychologist in Sal Luis, AZ

Active since March 08, 2007
1453 N. MAIN STREET, SUITE F, SAL LUIS, AZ 85349(928) 627-3635(928) 722-7025 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About San Juana Mendoza M.a.ed.s. NPPES

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

SAN JUANA MENDOZA M.A.ED.S. (NPI 1467583666) is an individual psychologist in Sal Luis, Arizona and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1467583666
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAN JUANA MENDOZACredential: M.A.ED.S.
Location Address1453 N. MAIN STREET, SUITE FSal Luis, AZ 85349
Mailing Address2968 S Broken Arrow LnYuma, AZ 85364-7447 · (928) 344-8096
Fax(928) 722-7025
Sole ProprietorYes
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1467583666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1453 N. MAIN STREET, SUITE F, Sal Luis, AZ 85349

Other Identifiers 1

Other333061AZ · Ahccs

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 San Juana Mendoza's NPI number?

The NPI number for San Juana Mendoza is 1467583666. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is San Juana Mendoza located?

San Juana Mendoza practices at 1453 N. Main Street, Suite F, Sal Luis, AZ 85349. The listed phone number is (928) 627-3635.

What is San Juana Mendoza's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for San Juana Mendoza was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.