Provider Demographics
NPI:1598977134
Name:CHILDREN & ADULT PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:CHILDREN & ADULT PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:WEISSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:480-491-7048
Mailing Address - Street 1:1351 N ALMA SCHOOL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5937
Mailing Address - Country:US
Mailing Address - Phone:480-491-7048
Mailing Address - Fax:480-963-2036
Practice Address - Street 1:1351 N ALMA SCHOOL RD STE 205
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5937
Practice Address - Country:US
Practice Address - Phone:480-491-7048
Practice Address - Fax:480-963-2036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3355103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty