Organization Active NPI

Aaa Neuropsychology, LLC

  • Clinical Psychologist
  • Malvern, PA
National Provider Identifier
1053744201
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017067 Issued in PA
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

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Farzin Irani, PH.D.NPI 1679853899
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20130820000271 PA Part B Supplier - Clinic/Group Practice 8022250166 Receives reassigned benefits from 3 practitioners
Practice locations: Malvern, PA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.