DR. MARYANN BELTRAN THIRAKUL (NPI# 1265590418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265590418 |
| Entity Type | Individual |
| Full Name | DR. MARYANN BELTRAN THIRAKUL |
| Credential | PSYD. |
| Practice Address |
2266 S. Dobson Rd. Suite 200 Mesa AZ 85202 |
| Practice Telephone | 4807755154 |
| Practice Fax Number | 4807442726 |
| Mailing Telephone | 4807755154 |
| Mailing Fax Number | 4807442726 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3783 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
3783 | AZ | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3783 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 140717 | 05 |
| Street Address |
2266 S. DOBSON RD. SUITE 200 |
| City | MESA |
| State | AZ |
| Zip Code | 85202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679719306 | Mary Ann B. Thirakul, Pllc | Psychologist | 2266 S. Dobson Rd., Suite 200, Mesa, AZ 85202 | 2008-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275173536 | Samuel A Wolde | Counselor | Clear View Counseling, 2651 W Guadalupe Rd, Mesa, AZ 85202 | 2020-01-14 |
| 1912549171 | Lauren Barbara Loges | Occupational Therapist | 2225 E. Southern Avenue, Mesa, AZ 85202 | 2019-10-09 |
| 1245724822 | Medsource Orthotics & Prosthetics, Inc | Prosthetic/Orthotic Supplier | 1450 S Dobson Rd Ste B326, Mesa, AZ 85202 | 2018-06-18 |
| 1457843310 | Jay Douglas Baumgardner | Physical Therapist | 1941 W. Guadalupe Rd. Suite 109, Mesa, AZ 85202 | 2018-06-05 |
| 1144746215 | Alyson Fix | Physician Assistant | 1432 S Dobson Rd Ste 304, Mesa, AZ 85202 | 2017-08-20 |
| 1194108852 | Robert Dale Labrum | Counselor | 1255 W Baseline Rd Ste B-258, Mesa, AZ 85202 | 2015-06-30 |
| 1114325677 | John David Shull Jr. | Physician Assistant | 1520 S Dobson Rd Ste 305, Mesa, AZ 85202 | 2014-12-16 |
| 1316356207 | Embry Womens Health LLC | Nurse Practitioner | 2204 S Dobson Road, Suite 203, Mesa, AZ 85202 | 2014-08-05 |
| 1619312899 | Fiza Naueed Khan | Internal Medicine | 1400 South Dobson Road, Attn: Bmg Hospitalists Team/amanda Gump, Mesa, AZ 85202 | 2013-05-01 |
| 1487903373 | Jodi Lynn Mealer | Pharmacist | 1951 W. Baseline Rd., Mesa, AZ 85202 | 2012-09-06 |
| Find all providers in zip 85202 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518501980 | Jennifer Jones, Psy.d., LLC | Psychologist | 1930 S Alma School Rd Ste D106, Mesa, AZ 85210-3095 | 2019-10-29 |
| 1568989671 | Heal Az Counseling and Wellness Center Pllc | Psychologist | 1845 S Dobson Rd Ste 109, Mesa, AZ 85202-5662 | 2017-08-29 |
| 1417327735 | Jessica Leclerc - Oasis Psychological Services, Pllc | Psychologist | 1930 S Alma School Rd. Ste. A216, Mesa, AZ 85210 | 2015-09-29 |
| 1598194813 | Laura Mann | Psychologist | 122 N Country Club Dr, Mesa, AZ 85201-6522 | 2013-11-06 |
| 1821363730 | Steven G Fox Phd PC | Psychologist | 1845 S Dobson Rd Ste 106, Mesa, AZ 85202-5661 | 2012-03-12 |
| 1730480856 | Beverly Costantini | Psychologist | 2500 South Power Road, Bldg 9, Ste 223, Mesa, AZ 85209-6690 | 2010-11-04 |
| 1326295510 | Marilyn Stromsness | Psychologist | 2228 E Jaeger St, Mesa, AZ 85213-2933 | 2008-08-19 |
| 1891993143 | Shelly K. Woodward | Psychologist | 1845s Dobson Rd 207, Mesa, AZ 85202-5663 | 2007-07-09 |
| 1144439852 | Julio F. Angulo | Psychologist | 3039 E Irwin Ave, Mesa, AZ 85204-7271 | 2007-05-21 |
| 1982811170 | Nancy Elaine Yeamans | Psychologist | 2210 W Southern Ave, Suite B-5, Mesa, AZ 85202-4714 | 2007-05-17 |
| Find all providers in MESA | ||||
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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.