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

Pk Neurology PLLC

Organization Adult Development & Aging Psychologist · NPI 1104763051

Pk Neurology PLLC is an Adult Development & Aging Psychologist in Mesa, Arizona. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
5
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

455 N Mesa Dr Ste 5
Mesa, AZ 85201-5936
Phone: (480) 813-2906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Adult Development & Aging Psychologist Taxonomy 103TA0700X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
Physical Therapist Taxonomy 225100000X
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X

Record details

NPI number1104763051
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Lanier — Principal · (801) 471-7340
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address5738 E Star Valley St, Mesa, AZ 85215-9664