IndividualActive
Russell Beazer, M.S.
NPI 1386730992 · Marriage & Family Therapist · Gilbert, AZ
Provider details
- NPI number
- 1386730992
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LMFT-10047 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1760 E Boston St Ste 102
Gilbert, AZ 85295-6241
Phone: (480) 649-6499
Fax: (480) 207-2580
Street-level locationGet directions
Mailing address
1760 E Boston St Ste 102
Gilbert, AZ 85295-6241
Additional practice locations (1)
- 1772 E Boston StSuite 107Gilbert, AZ 85295-6242Phone: (480) 649-6499Fax: (480) 207-2580
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2020-04-16
- Certified
- 2020-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.