OrganizationActive
Professional Psychology Associates PC
NPI 1821003419 · Rehabilitation Psychologist · Phoenix, AZ
Provider details
- NPI number
- 1821003419
- Entity type
- Organization
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Phillip Lett, Administrator(602) 852-0911
- License
- BH934 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 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
1 documented practice location
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
4222 E Camelback Rd
Suite H230
Phoenix, AZ 85018-2745
Phone: (602) 852-0911
Fax: (602) 852-0632
Street-level locationGet directions
Mailing address
4222 E Camelback Rd
Phoenix, AZ 85018-2745
Other names (DBA / former)
- Other name
- Center for Lifestyle Change
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.