Healthcare Provider Details

I. General information

NPI: 1073087961
Provider Name (Legal Business Name): NEXT STEP PSYCHOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2019
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 W CHANDLER BLVD STE 220
CHANDLER AZ
85224-6162
US

IV. Provider business mailing address

1669 E WHITTEN ST
CHANDLER AZ
85225-2221
US

V. Phone/Fax

Practice location:
  • Phone: 480-577-5442
  • Fax: 480-247-5874
Mailing address:
  • Phone: 480-577-5442
  • Fax: 480-247-5874

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PAULA MCCALL
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 480-577-5442