DR. CATHY LYNN BISSETT (NPI# 1417137274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417137274 |
| Entity Type | Individual |
| Full Name | DR. CATHY LYNN BISSETT |
| Credential | PSYD, MBA |
| Practice Address |
24654 N Lake Pleasant Pkwy Ste 103-497 Peoria AZ 85383-1359 |
| Mailing Address |
Po Box 172 Maricopa AZ 85139-0049 |
| Practice Telephone | 9282740294 |
| Mailing Telephone | 9282740294 |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2015-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3917 | AZ | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
3917 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | PSYCOLOGICAL LICENSURE | 3917 | 01 |
| Street Address |
24654 N LAKE PLEASANT PKWY STE 103-497 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85383-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701218 | West Point Optical Group | Optometrist | 24775 N. Pleasant Pkwy, Peoria, AZ 85383 | 2020-08-18 |
| 1528694247 | Lake Pleasant Kids Dentists and Orthodontics, LLP | Dentist | 24775 North Lake Pleasant Parkway Suite 104, Peoria, AZ 85383 | 2020-03-13 |
| 1124502273 | Nicole Angelina Hennigan | Registered Nurse | 9710 W. Happy Valley Rd, Suite 100 (salon 16), Peoria, AZ 85383 | 2018-09-24 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1013417617 | Elite Infusions LLC | Internal Medicine | 10252 W Villa Chula, Peoria, AZ 85383 | 2018-02-20 |
| 1427577238 | Serene Valley Care LLC | Assisted Living Facility | 29751 N 119th Lane, Peoria, AZ 85383 | 2017-09-12 |
| 1255857827 | Advanced Air Amulance LLC | Ambulance | 9463 West El Cortez Place, Peoria, AZ 85383 | 2017-08-16 |
| 1427578996 | Paul R Arthur | Physical Therapist | 9745 W. Happy Valley Rd, Peoria, AZ 85383 | 2017-06-26 |
| 1528597143 | Lucy Denton | Specialist/Technologist | 9234 West Andrea Drive, Peoria, AZ 85383 | 2017-06-07 |
| 1801263579 | John Leano | Pharmacist | 26898 N 87th Dr, Peoria, AZ 85383 | 2015-08-28 |
| Find all providers in zip 85383 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922075548 | Shauna L Gatten | Psychologist | 910 W Glen Avenue, Suite 2, Peoria, IL 61614-8807 | 2006-03-02 |
| 1174928410 | Meena Choi | Psychologist | 10184 W Happy Valley Rd, Suite Number 190, Peoria, AZ 85383-1254 | 2014-10-29 |
| 1114320413 | Tiffany Abrego | Psychologist | 900 Main St Ste 720, Peoria, IL 61602-5027 | 2014-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202594 | Olugus Family Care | Psychologist | 44077 W. Palmen Dr., Maricopa, AZ 85138 | 2020-10-15 |
| 1972029205 | Prism Learning and Development, Pllc | Psychologist | 7157 E Rancho Vista Dr Ste 7147b24, Scottsdale, AZ 85251-1494 | 2017-08-18 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1811360316 | Redemption Psychiatry LLC | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2015-11-05 |
| 1447582937 | Shefali Gandhi, Psy.d., P.l.l.c. | Psychologist | 7120 E 6th Ave, Suite 20, Scottsdale, AZ 85251-3228 | 2010-02-08 |
| 1306077979 | Sue R Lerner | Psychologist | 6773 E Gelding Dr, Scottsdale, AZ 85254-3494 | 2009-07-30 |
| 1982890588 | Erin Keely Lanphier | Psychologist | 21807 N Scottsdale Rd, Scottsdale, AZ 85255-7439 | 2007-09-18 |
| 1396966453 | Larry L. Grimm | Psychologist | 222 S. Summit Ave., Ste. 1, Prescott, AZ 86303-3780 | 2007-05-02 |
| 1801919840 | Tyra Maria Ripley | Psychologist | 3120 W Cholla St, Phoenix, AZ 85029-4113 | 2007-04-06 |
| 1154475648 | Kathleen Campbell | Psychologist | 4550 E 5th St, Tucson, AZ 85711-7004 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
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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.