OrganizationActive
Teen Out Reach Services
NPI 1982289062 · Psychologist · Mesa, AZ
Teen Out Reach Services is a Psychologist organization in Mesa, AZ (NPI 1982289062).
Provider details
- NPI number
- 1982289062
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Banner Health
- Organization subpart
- Yes
- Authorized official
- Amanda Johnson, Director(480) 696-0338
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Critical Access Hospital282NC0060X
Hospitals
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 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
544 S 96th Pl
Mesa, AZ 85208-2512
Phone: (480) 696-0338
Street-level locationGet directions
Mailing address
544 S 96th Pl Apt 2080
Mesa, AZ 85208-2512
Other names (DBA / former)
- Doing business as
- Teen Out Reach Services
Additional practice locations (4)
- 1 Ashburton PlBoston, MA 02108-1518Phone: (480) 696-0338
- 5600 Fishers LnRockville, MD 20852-1750Phone: (480) 696-0338
- 4600 N Wyandotte StKansas City, MO 64116-1518Phone: (480) 696-0338
- 401 E High StCharlottesville, VA 22902-5119Phone: (480) 696-0338
Registry dates
- Enumerated
- 2021-03-10
- Last updated
- 2021-06-03
- Certified
- 2021-06-03
Frequently asked questions
- What is Teen Out Reach Services's NPI number?
- Teen Out Reach Services's National Provider Identifier (NPI) is 1982289062, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Teen Out Reach Services?
- Teen Out Reach Services is classified in the NPPES registry as Psychologist (Behavioral Health & Social Service Providers).
- Where is Teen Out Reach Services located?
- Teen Out Reach Services's practice location on file with NPPES is 544 S 96th Pl, Mesa, AZ 85208-2512.
- What is Teen Out Reach Services's phone number?
- The practice phone number listed in the NPPES registry for Teen Out Reach Services is (480) 696-0338.
- Who is the authorized official for Teen Out Reach Services?
- The authorized official listed on Teen Out Reach Services's NPPES record is Amanda Johnson, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Teen Out Reach Services's NPI active?
- Yes — Teen Out Reach Services's NPI (1982289062) is active in the NPPES registry as of the last update on 2021-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.