Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Paradise Counseling & Consultation Center PC

Organization Clinical Psychologist · NPI 1376701508

Paradise Counseling & Consultation Center PC is a Clinical Psychologist 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
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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