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

Teen Out Reach Services

Organization Psychologist · NPI 1982289062

Teen Out Reach Services is a Psychologist in Mesa, Arizona. Works from 5 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
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Practice location Address checks out

544 S 96th Pl
Mesa, AZ 85208-2512
Phone: (480) 696-0338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1 Ashburton Pl, Boston, MA 02108-1518 — (480) 696-0338
  • 5600 Fishers Ln, Rockville, MD 20852-1750 — (480) 696-0338
  • 4600 N Wyandotte St, Kansas City, MO 64116-1518 — (480) 696-0338
  • 401 E High St, Charlottesville, VA 22902-5119 — (480) 696-0338

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X
Critical Access Hospital Taxonomy 282NC0060X

Record details

NPI number1982289062
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBanner Health
Authorized official Amanda Johnson — Director · (480) 696-0338
Other names Teen Out Reach Services
NPI enumeratedMarch 10, 2021
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021
Mailing address544 S 96th Pl Apt 2080, Mesa, AZ 85208-2512

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