Provider Demographics
NPI:1174927172
Name:SIMPSON, CHRISTOPHER (PSYD)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 N HAYDEN RD
Mailing Address - Street 2:UNIT A204
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-4405
Mailing Address - Country:US
Mailing Address - Phone:224-622-6583
Mailing Address - Fax:
Practice Address - Street 1:10184 W HAPPY VALLEY RD
Practice Address - Street 2:SUITE 190
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1254
Practice Address - Country:US
Practice Address - Phone:623-824-5051
Practice Address - Fax:623-889-9000
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4543103G00000X, 103T00000X, 103TB0200X, 103TC0700X, 103TC2200X, 103TE1100X, 103TH0004X, 103TM1800X, 103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy