1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Psychologist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MESA PRIMARY CARE LLC
NPI 1699674143
Psychologist - Group Psychotherapy in Mesa, AZ

Active since November 02, 2026
864 W SOUTHERN AVE, MESA, AZ 85210(602) 690-6901 Get Directions Write a Review

NPPES record added: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mesa Primary Care Llc NPPES

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

MESA PRIMARY CARE LLC (NPI 1699674143) is a healthcare organization registered as a group psychotherapy in Mesa, Arizona and active in the NPI registry since November 2026. The organization lists Tahlil Scott, Manager, as its authorized official.

NPPES Registry Identity

NPI1699674143
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameMESA PRIMARY CARE LLC
Location Address864 W SOUTHERN AVEMesa, AZ 85210-4900
Mailing Address864 W Southern AveMesa, AZ 85210-4900 · (602) 690-6901
Phone(602) 690-6901
Organization SubpartNo
Authorized OfficialTahlil ScottManager · (480) 478-0418
Enumeration DateNovember 2, 2026
NPPES CertifiedNovember 2, 2026
✔ NPI 1699674143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
864 W SOUTHERN AVE, Mesa, AZ 85210
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

SYNERGY TRANSITIONAL HOUSING INC.
Clinic/Center (Primary Care)
864 W SOUTHERN AVE
MESA, AZ 85210
Maricopa County (602) 690-6901
MONICA GABRIELE LAC
Counselor (Mental Health)
864 W SOUTHERN AVE
MESA, AZ 85210
Maricopa County (480) 747-7911

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 Mesa Primary Care LLC's NPI number?

The NPI number for Mesa Primary Care LLC is 1699674143. It was assigned to this organization in the NPPES registry on November 2, 2026.

Where is Mesa Primary Care LLC located?

Mesa Primary Care LLC is located at 864 W Southern Ave, Mesa, AZ 85210. The listed phone number is (602) 690-6901.

What is Mesa Primary Care LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

When was this NPI record last updated?

The NPPES record for Mesa Primary Care LLC was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.