DR. LORENE MARIE PETTA (NPI# 1316374036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316374036 |
Entity Type | Individual |
Full Name | DR. LORENE MARIE PETTA |
Credential | PSY.D. |
Practice Address |
6424 E Greenway Pkwy Ste 100-587 Scottsdale AZ 85254-2045 |
Mailing Address |
Po Box 4622 Scottsdale AZ 85261-4622 |
Practice Telephone | 4802030403 |
Mailing Telephone | 4802030403 |
Mailing Fax Number | 4802561010 |
Enumeration Date | 2013-09-27 |
Last Update Date | 2019-09-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
4435 | NC | Behavioral Health & Social Service Providers |
Street Address |
6424 E GREENWAY PKWY STE 100-587 |
City | SCOTTSDALE |
State | AZ |
Zip Code | 85254-2045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952965246 | Braintrain4you LLC | Counselor | 6424 E Greenway Pkwy Ste 100-587, Scottsdale, AZ 85254-2045 | 2019-04-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891318416 | Dental Center of Scottsdale Pllc | Dentist | 6945 E. Sahuaro, Dr. Ste A-3, Scottsdale, AZ 85254 | 2020-05-19 |
1730651365 | Banner Urgent Care Services, LLC | Clinic/Center | 6501 East Greenway Parkway Building 3 Ste 104, Scottsdale, AZ 85254 | 2018-12-20 |
1801364872 | Lionrock Behavioral Health, Inc. | Community/Behavioral Health | 7047 E. Greenwood Parkway, Suite 250, Scottsdale, AZ 85254 | 2018-11-08 |
1497241079 | Saguaro Treatment Center | Pain Medicine | 5533 E. Bell Rd #111, Scottsdale, AZ 85254 | 2018-07-06 |
1811489941 | One Hundred Dental Pllc | Clinic/Center | 11000 N Scottsdale Rd Ste 290, Scottsdale, AZ 85254 | 2018-06-05 |
1104339316 | Victoria Lynne Amstutz | Family Medicine | 5546 E. Yucca Street, Scottsdale, AZ 85254 | 2017-11-09 |
1205345477 | Dentists of Scottsdale, LLP | Dentist | 16201 N Scottsdale Road, Ste 100, Scottsdale, AZ 85254 | 2017-09-20 |
1346779626 | Jillian Manng | Nurse Practitioner | 11000 N. Scottsdale Rd., #145, Scottsdale, AZ 85254 | 2017-06-08 |
1184163339 | Emily Tepouha Bashah | Psychologist | 13430 North Scottsdale Road, Suite #301a, Scottsdale, AZ 85254 | 2017-02-21 |
1427596741 | Tiffany Schonert | Contractor | 7127 E Sahuaro Dr Suite 105, Scpttsdale, AZ 85254 | 2017-02-07 |
Find all providers in zip 85254 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457915316 | Debra W Gold | Psychologist | 7462 E Whistling Wind Way, Scottsdale, AZ 85255-4718 | 2019-04-25 |
1982197679 | Meredith Van Tine | Psychologist | 7527 E 1st St Ste 8, Scottsdale, AZ 85251-4501 | 2018-06-07 |
1730680497 | Neuropsychology Consulting Services Pllc | Psychologist | 5743 E Thomas Rd Ste 106, Scottsdale, AZ 85251-7571 | 2018-02-27 |
1316481401 | James Day | Psychologist | 8115 E Indian Bend Rd Ste 119, Scottsdale, AZ 85250-4819 | 2016-12-08 |
1477095024 | Brain-body Wellness and Biofeedback | Psychologist | 10752 N 89th Pl Ste 227c, Scottsdale, AZ 85260-6745 | 2016-11-14 |
1215308689 | Maria D Mangione | Psychologist | 4835 E Cactus Rd Ste 333, Scottsdale, AZ 85254-3542 | 2015-10-12 |
1013387307 | Sarette Zecharia | Psychologist | 5635 N Scottsdale Rd # 128, Scottsdale, AZ 85250-5937 | 2015-09-30 |
1205216736 | Amanda Kaplan | Psychologist | 9825 N 95th St Ste 101, Scottsdale, AZ 85258-4590 | 2015-05-29 |
1700204138 | Brittnee May | Psychologist | 8501 E Princess Dr Ste 100, Scottsdale, AZ 85255-5481 | 2014-04-02 |
1467798082 | Sandra L Klar | Psychologist | 8218 E Del Cadena Dr, Scottsdale, AZ 85258-2319 | 2012-12-31 |
Find all providers in SCOTTSDALE |
City | SCOTTSDALE |
Zip Code | 85254 |
Please comment or provide details below to improve the information on DR. LORENE MARIE PETTA.
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.