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Export Provider Record NPI 1154333193
Becky A. SimonelicPSY.D.
Active
NPI Number1154333193
NPI TypeNPI-1 Individual
SpecialtyPsychologist, Counseling
Provider Details
NPI1154333193
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-08-11
Last Updated2007-07-08
Mailing Address244 W Mountain Sky Ave
Phoenix, AZ 85045-0413
United States
Phone: (480) 540-2984 | Fax: (480) 656-0011
📍 View Map
Primary Practice Address4425 E Agave Rd, Suite 116
Phoenix, AZ 85044-0619
United States
Phone: (480) 540-2984 | Fax: (480) 656-0011
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103TC1900X – Psychologist, CounselingAZ3745
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About NPI 1154333193

Becky A. Simonelic PSY.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1154333193. The primary specialty listed is Psychologist, Counseling. The provider is located in Phoenix, AZ. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-08-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1154333193?

NPI 1154333193 belongs to Becky A. Simonelic PSY.D., a Psychologist, Counseling in Phoenix, AZ. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1154333193 active?

The current status of NPI 1154333193 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1154333193?

NPI 1154333193 is classified under the taxonomy Psychologist, Counseling. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1154333193?

You can verify NPI 1154333193 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1154333193?

The primary practice address on file for NPI 1154333193 is 4425 E Agave Rd, Phoenix, AZ 85044-0619. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1154333193 issued?

NPI 1154333193 was first issued (enumerated) on 2006-08-11. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Becky A. Simonelic is located at 4425 E Agave Rd, Phoenix, AZ. Use the map below to find directions or verify the practice location.

📍 4425 E Agave Rd, Phoenix, AZ 85044-0619  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Becky A. Simonelic. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1154333193. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Psychologist, Counseling3745AZ
Data Verified from CMS NPPES Last synced: 2026-07-05 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162