Active NPI
Katy-Lynne Osborn, SCHOOL PSYCHOLOGIST
- School Psychologist
- Fountain Hills, AZ
National Provider Identifier
1013271097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663 - Phone
- (480) 837-4565
- NPI assigned
- Jun 25, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA7779 | AZ | |
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Mailing address
17100 E Shea Blvd Ste 600
Fountain Hills, AZ 85268-6663
Phone (480) 837-4565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA7779 | AZ | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1013271097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663",
"telephone_number": "480-837-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 E SHEA BLVD STE 600",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852686663",
"telephone_number": "480-837-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "KATY-LYNNE",
"credential": "SCHOOL PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-25",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7779",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.