Active NPI
Aaa Neuropsychology, LLC
- Clinical Psychologist
- Malvern, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS017067
- Legal business name
- AAA NEUROPSYCHOLOGY, LLC
- Practice address
- 101 Lindenwood Dr
Suite 225
Malvern, PA 19355-1755 - Phone
- (484) 870-5608
- NPI assigned
- Aug 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farzin Irani, PH.D.
- Title
- Psychologist
- Phone
- (484) 870-5608
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS017067 | PA | Primary |
Addresses
Primary practice location
101 Lindenwood Dr
Suite 225
Malvern, PA 19355-1755
Mailing address
101 Lindenwood Dr
Suite 225
Malvern, PA 19355-1755
Phone (484) 870-5608
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130820000271 | PA | Part B Supplier - Clinic/Group Practice | 8022250166 |
Receives reassigned benefits from 3 practitioners Practice locations: Malvern, PA |
National Provider Directory
National Provider DirectoryLocations
48 General Warren Blvd
#101
Malvern, PA 19355
Phone (484) 870-5608
59 General Warren Blvd
#101
Malvern, PA 19355
Phone (484) 870-5608
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Neuropsychologist
- Mount Laurel, NJ
- NPI 1871978833
Clinical, PA
-
- Clinical Neuropsychologist
- Fredericksburg, VA
- NPI 1992326920
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376265600000",
"number": "1053744201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LINDENWOOD DR",
"address_2": "SUITE 225",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551755",
"telephone_number": "484-870-5608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LINDENWOOD DR",
"address_2": "SUITE 225",
"city": "MALVERN",
"state": "PA",
"postal_code": "193551755",
"telephone_number": "484-870-5608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AAA NEUROPSYCHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-12",
"last_updated": "2013-08-12",
"status": "A",
"authorized_official_last_name": "IRANI",
"authorized_official_first_name": "FARZIN",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "484-870-5608",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS017067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.