Ambrosia Psychology, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

AMBROSIA PSYCHOLOGY, LLC

Practice address

4605 N Paseo Aquimuri
Tucson, AZ 85750-1613

Phone

(480) 382-3840

NPI assigned

Jul 29, 2020

Last updated

Jul 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elisabetta Ambrosia, PSY.D.NPI 1902426208

Title

Owner/Manager

Phone

(480) 382-3840

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elisabetta Ambrosia, PSY.D.

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1902426208

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595980800000",
    "number": "1053920678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 N PASEO AQUIMURI",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501613",
            "telephone_number": "480-382-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 N PASEO AQUIMURI",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857501613",
            "telephone_number": "480-382-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBROSIA PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A",
        "authorized_official_last_name": "AMBROSIA",
        "authorized_official_first_name": "ELISABETTA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-382-3840",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Christine Amaya, APRN, NNP-BC
• Samantha Amaya
• Julia Ambriz
• Olga T Ambriz, SLPA
• Frank Ambrose, LMSW
• Ambulatory Surgery Center of Tucson, Inc.
• Amd Internal Medicine PLLC
• Amedisys Hospice, LLC (Amedisys Hospice)
• Jameela Ameen, FNP
• Lora Leigh Amelunke, PT

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.