Healthcare Provider Details

I. General information

NPI: 1164341004
Provider Name (Legal Business Name): THE CHILD AND FAMILY THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7747 W DEER VALLEY RD STE 255
PEORIA AZ
85382-2124
US

IV. Provider business mailing address

7747 W DEER VALLEY RD STE 255
PEORIA AZ
85382-2124
US

V. Phone/Fax

Practice location:
  • Phone: 623-476-7436
  • Fax: 623-249-5324
Mailing address:
  • Phone: 623-476-7436
  • Fax: 623-249-5324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA KATEN
Title or Position: OWNER/PSYCHOLOGIST
Credential: PSYD
Phone: 623-476-7436