NPIMap

Organization Active NPI

Inner Journey Psychological Services, LLC

Doing business as Inner Journey Psychological Services

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1073560793
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34348 Issued in AZ
Legal business name
INNER JOURNEY PSYCHOLOGICAL SERVICES, LLC
Doing business as
Inner Journey Psychological Services
Practice address
2200 E River Rd
Suite 121
Tucson, AZ 85718-6579
Phone
(520) 971-5578
Fax
(520) 577-3516
NPI assigned
May 28, 2006
Last updated
Dec 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Necoe Lynn Otto-Parkinson, PHDNPI 1164471538
Title
Sole Owner / Psychologist
Phone
(520) 971-5578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 34348 AZ Primary

Addresses

Primary practice location

2200 E River Rd
Suite 121
Tucson, AZ 85718-6579

Mailing address

2200 E River Rd
Suite 121
Tucson, AZ 85718-6579
Phone (520) 971-5578

Other names 1

  • Inner Journey Psychological Services Doing business as

National Provider Directory

National Provider Directory

Locations

2200 E River Rd
Ste 121
Tucson, AZ 85718
Phone (520) 577-3652

4739 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 907-2860

6837 N Oracle Rd
Ste 14
Tucson, AZ 85704
Phone (520) 297-7001

7790 N Oracle Rd
Ste 120
Tucson, AZ 85704
Phone (520) 888-3998

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1073560793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E RIVER RD",
            "address_2": "SUITE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186579",
            "telephone_number": "520-971-5578",
            "fax_number": "520-577-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E RIVER RD",
            "address_2": "SUITE 121",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186579",
            "telephone_number": "520-971-5578",
            "fax_number": "520-577-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER JOURNEY PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "OTTO-PARKINSON",
        "authorized_official_first_name": "NECOE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOLE OWNER / PSYCHOLOGIST",
        "authorized_official_telephone_number": "520-971-5578",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "34348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Journey Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 2014; 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.