SPECTRUM VILLAGE, PLLC
NPI 1841686078
Psychologist - Clinical in Phoenix, AZ

Active since April 14, 2015
4150 W PEORIA AVE, STE. 133, PHOENIX, AZ 85029(602) 910-0526(602) 346-0117 Get Directions Write a Review

NPPES record last updated: April 14, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Spectrum Village, Pllc NPPES

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

SPECTRUM VILLAGE, PLLC (NPI 1841686078) is a healthcare organization registered as a clinical in Phoenix, Arizona and active in the NPI registry since April 2015. The organization lists Lori Kim Lichte-brill, Chief Clinical Officer, as its authorized official.

NPPES Registry Identity

NPI1841686078
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSPECTRUM VILLAGE, PLLC
Location Address4150 W PEORIA AVE, STE. 133Phoenix, AZ 85029-3900
Mailing Address4150 W Peoria Ave, Ste. 133Phoenix, AZ 85029-3900 · (602) 910-0526 · Fax (602) 346-0117
Fax(602) 346-0117
Organization SubpartNo
Authorized OfficialLori Kim Lichte-brillChief Clinical Officer · (602) 910-0526
Enumeration DateApril 14, 2015
NPI 1841686078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in AZ · 4484
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.
Also ListedBehavior AnalystTaxonomy 103K00000X · License 127 (AZ)
4150 W PEORIA AVE, Phoenix, AZ 85029

Other Identifiers 1

Other462224AZ · Ahcccs

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 6

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

Chiropractor
4150 W PEORIA AVE, STE 134
PHOENIX, AZ 85029
Home Health
4150 W PEORIA AVE, SUITE 112
PHOENIX, AZ 85029
Midwife
4150 W PEORIA AVE
PHOENIX, AZ 85029
Community/Behavioral Health
4150 W PEORIA AVE
PHOENIX, AZ 85029
Psychologist (Clinical)
4150 W PEORIA AVE, STE 133
PHOENIX, AZ 85029
Counselor (Professional)
4150 W PEORIA AVE, SUITE 133
PHOENIX, AZ 85029

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 Spectrum Village, PLLC's NPI number?

The NPI number for Spectrum Village, PLLC is 1841686078. It was assigned to this organization in the NPPES registry on April 14, 2015.

Where is Spectrum Village, PLLC located?

Spectrum Village, PLLC is located at 4150 W Peoria Ave Ste. 133, Phoenix, AZ 85029. The listed phone number is (602) 910-0526.

What is Spectrum Village, PLLC'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 Spectrum Village, PLLC was last updated on April 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.