Individual provider Active NPI

Patricia Volkerts, PH.D.

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1063500098
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0697 Issued in AZ
Practice address
3444 N Country Club Rd
Suite 202
Tucson, AZ 85716-1200
Phone
(520) 325-2723
Fax
(520) 325-7207
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0697 AZ Primary

Addresses

Primary practice location

3444 N Country Club Rd
Suite 202
Tucson, AZ 85716-1200

Mailing address

3444 N Country Club Rd
Suite 202
Tucson, AZ 85716-1200
Phone (520) 325-2723

Other identifiers 2

IdentifierTypeStateIssuer
AZ0136350OtherAZBCBS PROVIDER NUMBER
1Z2648OtherAZHEALTHNET PROVIDER NUMBER

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0697AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
David M Rubin,PH.D.,P.C. Clinical Past Accepting new patients

Organizations & group practices 1

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063500098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 N COUNTRY CLUB RD",
            "address_2": "SUITE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161200",
            "telephone_number": "520-325-2723",
            "fax_number": "520-325-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 N COUNTRY CLUB RD",
            "address_2": "SUITE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161200",
            "telephone_number": "520-325-2723",
            "fax_number": "520-325-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKERTS",
        "first_name": "PATRICIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "0697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "AZ0136350",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER NUMBER",
            "identifier": "1Z2648",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.