MICHAEL JOSEPH REDIVO PH.D.
NPI 1790938157
Psychologist - Clinical Child & Adolescent in Phoenix, AZ

Q: What is Michael Redivo's NPI number?

The NPI number for Michael Redivo is 1790938157. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Q: What is Michael Redivo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Michael Redivo was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 29, 2008

4229 N 16TH ST, PHOENIX, AZ 85016(602) 277-4482(602) 277-4483 Get Directions Write a Review

NPPES record last updated: October 29, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael Joseph Redivo Ph.d. NPPES

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

MICHAEL JOSEPH REDIVO PH.D. (NPI 1790938157) is an individual clinical child & adolescent provider in Phoenix, Arizona, licensed in Arizona (3433) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1790938157

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameMICHAEL JOSEPH REDIVOCredential: PH.D.

Location Address4229 N 16TH STPhoenix, AZ 85016-5318

Mailing Address4229 N 16th StPhoenix, AZ 85016-5318 · (602) 277-4482 · Fax (602) 277-4483

Phone(602) 277-4482

Fax(602) 277-4483

Sole ProprietorNo

Enumeration DateOctober 29, 2008

✔ NPI 1790938157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in AZ · 3433

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

4229 N 16TH ST, Phoenix, AZ 85016

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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.

MISS JACKIE PILLA M.ED.

Counselor (School)

4229 N 16TH ST
PHOENIX, AZ 85016

Maricopa County (602) 230-0010

SILVIA MORA LMSW

Social Worker (School)

4229 N 16TH ST
PHOENIX, AZ 85016

Maricopa County (602) 277-4482

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 Michael Redivo's NPI number?

The NPI number for Michael Redivo is 1790938157. It was assigned to this individual provider in the NPPES registry on October 29, 2008.

Where is Michael Redivo located?

Michael Redivo practices at 4229 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 277-4482.

What is Michael Redivo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Michael Redivo was last updated on October 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.