Healthcare Provider Details

I. General information

NPI: 1063337590
Provider Name (Legal Business Name): DR. CYNTHIA ESTRELLA ORTIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11201 N TATUM BLVD STE 300
PHOENIX AZ
85028-6039
US

IV. Provider business mailing address

7544 E KIMSEY LN
SCOTTSDALE AZ
85257-4337
US

V. Phone/Fax

Practice location:
  • Phone: 480-566-2342
  • Fax:
Mailing address:
  • Phone: 602-821-7666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY-006126
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: