Marissa L Mascorro, PSYD is a
Psychologist - Clinical based in Tempe, Arizona. Marissa L Mascorro is licensed to practice in Arizona (license number PSY-005890) and her current practice location is
2120 S Mcclintock Dr, Suite 105, Tempe, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 804-0326.
NPI number for Marissa L Mascorro is 1063832343 and her current mailing address is 1400 E. Southern Ave, Ste. 735, Tempe, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063832343.
Healthcare Provider's Profile
Full Name | Marissa L Mascorro |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2120 S Mcclintock Dr, Tempe, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063832343
- Provider Enumeration Date: 04/24/2014
- Last Update Date: 05/13/2025
Medical Identifiers
Medical identifiers for Marissa L Mascorro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063832343 | NPI | - | NPPES |
342848 | Medicaid | AZ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LAC-13710 (Arizona) | Secondary |
101YP2500X | Counselor - Professional | LPC-17047 (Arizona) | Secondary |
103TC0700X | Psychologist - Clinical | PSY-005890 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marissa L Mascorro is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marissa L Mascorro, PSYD 1400 E. Southern Ave, Ste. 735, Tempe, AZ 85282-2692 Ph: (480) 804-0326 | Marissa L Mascorro, PSYD 2120 S Mcclintock Dr, Suite 105, Tempe, AZ 85282-2692 Ph: (480) 804-0326 |
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