COMPLETE PSYCHOLOGICAL SCHOOL SERVICES (NPI# 1205914264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205914264 |
| Entity Type | Organization |
| Organization Name | COMPLETE PSYCHOLOGICAL SCHOOL SERVICES |
| Practice Address |
1550 N Stapley Dr 40 Mesa AZ 85203-3705 |
| Practice Telephone | 4806449567 |
| Practice Fax Number | 4806440848 |
| Mailing Telephone | 4806449567 |
| Mailing Fax Number | 4806440848 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSEPH HOMER BOURGOINE (SCHOOL PSYCHOLOGIST) |
| Authorized Official Telephone | 4806449567 |
| Authorized Official Credential | M.A., M. ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1550 N STAPLEY DR 40 |
| City | MESA |
| State | AZ |
| Zip Code | 85203-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
| 1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
| 1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
| 1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
| 1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
| 1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
| 1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
| Find all providers in zip 85203 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1417435736 | Evelyn Burrell | Psychologist | 1930 S Alma School Rd Ste B120, Mesa, AZ 85210-3051 | 2018-07-30 |
| 1629554126 | Arizona Intergrated Tele Psychiatry and Tele Medicine Services LLC | Psychologist | 2735 E Main St Ste 2&3, Mesa, AZ 85213-9269 | 2018-07-17 |
| 1609389451 | Stacy E. Lamorgese | Psychologist | 4115 E Valley Auto Dr Ste 208, Mesa, AZ 85206-4612 | 2017-11-14 |
| 1790183200 | Kathleen Devine Bree | Psychologist | 1432 S Dobson Rd Ste 408, Mesa, AZ 85202-4777 | 2014-12-15 |
| 1841599941 | Carmen Lynne Lucia | Psychologist | 2045 S Vineyard Ste 139, Mesa, AZ 85210-6891 | 2011-03-15 |
| 1194920132 | Kay M. Seward | Psychologist | 4449 E Elmwood St, Mesa, AZ 85205-5251 | 2007-06-19 |
| 1922209493 | Tom Richard Ruddy | Psychologist | 2524 S El Paradiso Unit 10, Mesa, AZ 85202-7477 | 2007-05-30 |
| 1538203302 | Mariza Gonzales | Psychologist | 8742 E Luna Ave, Mesa, AZ 85209-5362 | 2007-02-16 |
| Find all providers in MESA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.