Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Paradise Counseling & Consultation Center PC

Organization Clinical Psychologist · NPI 1376701508

Paradise Counseling & Consultation Center PC provides Clinical Psychologist services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2008.

Licensed in
AZ
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11020 N Tatum Blvd
Phoenix, AZ 85028-6072 Not confirmed with CMS for 18 years — call before visiting
Phone: (602) 996-8619
Fax: (602) 996-7932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 503 (AZ)

Record details

NPI number1376701508
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Keller — Psychologist · (602) 996-8619
NPI enumeratedMay 23, 2008
Last updated in NPPESMay 23, 2008
Mailing address11020 N Tatum Blvd, Phoenix, AZ 85028-6072

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