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

Marissa L Mascorro, PSYD

Individual provider Mental Health Counselor · NPI 1063832343

Marissa L Mascorro, PSYD is a Psychiatry in Tempe, Arizona. Qualified in 2024, 2 years ago. Practices with Knapp Neuropsychology, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2014
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2120 S McClintock Dr Ste 105
Tempe, AZ 85282-2692
Phone: (480) 804-0326
Fax: (480) 804-0083
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-005890 (AZ)
Mental Health Counselor Taxonomy 101YM0800X · Licence LAC-13710 (AZ)
Professional Counselor Taxonomy 101YP2500X · Licence LPC-17047 (AZ)

Record details

NPI number1063832343
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedApril 24, 2014
Last updated in NPPESMay 13, 2025
Certification dateMay 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Knapp Neuropsychology — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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