DR. MARY KAY CRAGAN (NPI# 1124247374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124247374 |
| Entity Type | Individual |
| Full Name | DR. MARY KAY CRAGAN |
| Credential | PH.D. |
| Practice Address |
16913 W Dale Ln Surprise AZ 85387-6078 |
| Mailing Address |
Po Box 7067 Surprise AZ 85374-0101 |
| Practice Telephone | 6235848392 |
| Mailing Telephone | 6235848392 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
960 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
16913 W DALE LN |
| City | SURPRISE |
| State | AZ |
| Zip Code | 85387-6078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821587361 | Zayden Transportation Services LLC | Private Vehicle | 16399 West Cielo Grande Avenue, Surprise, AZ 85387 | 2018-05-09 |
| 1225553985 | Elmer Place for Parents | Assisted Living Facility | 25968 N.sandstone Way, Surprise, AZ 85387 | 2017-08-03 |
| 1538563143 | About Seniors Assisted Living Home, LLC | Assisted Living Facility | 17343 W Bajada Dr, Surprise, AZ 85387-1002 | 2014-10-11 |
| 1457520470 | Quality Life Arrangements | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17303 W Buckhorn Trl, Surprise, AZ 85387-1016 | 2008-02-24 |
| 1619204039 | Richard Todd Stoneking | Respite Care | 17386 W Buckhorn Trl, Surprise, AZ 85387-1019 | 2009-11-05 |
| 1881919009 | Courtney Burnett | Specialist/Technologist | 17667 W Red Bird Rd, Surprise, AZ 85387-1032 | 2010-03-31 |
| 1508291873 | Trace Jahner | Speech-Language Pathologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2013-09-05 |
| 1689283319 | Madison Riddick | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-28 |
| 1790303527 | Jena Rose Anaya | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-07-08 |
| 1366074064 | Victoria Rivera | Specialist/Technologist | 26934 N 178th Ave, Surprise, AZ 85387-1075 | 2020-02-10 |
| Find all providers in zip 85387 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063808558 | Alicja Stewart | Psychologist | 14780 W. Mountain View Blvd., Suite 110, Surprise, AZ 85374-7280 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288946 | Jennifer Holzapfel | Psychologist | 8585 E Hartford Dr Ste 119, Scottsdale, AZ 85255-5473 | 2020-09-03 |
| 1346862265 | Cynthia Williams | Psychologist | 314 W Veterans Blvd, Tucson, AZ 85713-6026 | 2020-05-13 |
| 1427608892 | David G Dubner | Psychologist | 709 N Humphreys St, Flagstaff, AZ 86001-3025 | 2019-09-17 |
| 1821648791 | Amy Carden | Psychologist | 1616 E Indian School Rd Ste 150, Phoenix, AZ 85016-8611 | 2019-09-12 |
| 1720550114 | Ina Evelyn Hilgers | Psychologist | 1419 W Windsong Dr, Phoenix, AZ 85045-0745 | 2018-12-22 |
| 1033699210 | Anna Rachel Seno | Psychologist | 300 S Granite Street, Prescott, AZ 86303 | 2018-08-17 |
| 1306335146 | Mark Shobin | Psychologist | 14887 N 103rd St, Scottsdale, AZ 85255-8511 | 2018-05-08 |
| 1982103172 | David Elias Messer | Psychologist | 6125 E Indian School Rd Apt 232, Scottsdale, AZ 85251-5493 | 2018-02-02 |
| 1669982013 | Sterling Bridges | Psychologist | 2802 N 37th Ave, Phoenix, AZ 85009-1338 | 2017-10-11 |
| 1720597040 | Lore M Dickey | Psychologist | 2501 N 4th St Ste 18d, Flagstaff, AZ 86004-3701 | 2017-09-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.