Pedroso Psychological Services, Llc

LBN: Pedroso Psychological Services, Llc
Pedroso Psychological Services, Llc is an health care organization with primary practice located at 11201 N Tatum Blvd Ste 300 , Phoenix AZ 85028-6039. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Pedroso Psychological Services, Llc can be contacted via phone (480) 310-8090, or through Pedroso, Daniella via phone (480) 310-8090.

Contact Information

Primary practice address
11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039
Phone: (480) 310-8090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pedroso, Daniella PSY.D.
Phone: (480) 310-8090

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1235785395
LBN Legal business name Pedroso Psychological Services, Llc
DBA Doing business as
Authorized official Pedroso, Daniella PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2019
Last updated Feb 5th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235785395 NPPES
Arizona MEDICAID 1215591623

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