Individual provider Active NPI

Ashley Michelle Loeb, PH.D.

  • School Psychologist
  • Phoenix, AZ
National Provider Identifier
1013385384
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4654 Issued in AZ
Practice address
4130 E Nighthawk Way
Phoenix, AZ 85048-0556
Phone
(602) 349-7115
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 4654 AZ
Clinical Child & Adolescent Psychologist 103TC2200X 4654 AZ
School Psychologist 103TS0200X 4654 AZ Primary

Addresses

Primary practice location

4130 E Nighthawk Way
Phoenix, AZ 85048-0556

Mailing address

4130 E Nighthawk Way
Phoenix, AZ 85048-0556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4654AZMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health, LLC CurrentSince Mar 1, 2020 Accepting new patients
Northwest Neurobehavioral Health PLLC PastSince Mar 1, 2020 Accepting new patients

Locations

2965 E Tarpon Dr
Ste 150
Meridian, ID 83642
Phone 2082879420110

2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333

2463 E Gala St
Meridian, ID 83642
Phone (208) 908-1881

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1013385384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 E NIGHTHAWK WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 E NIGHTHAWK WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850480556",
            "telephone_number": "602-349-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEB",
        "first_name": "ASHLEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "4654",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "4654",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.