Active NPI
Pamela Horner, PH.D.
- Psychologist
- Peoria, AZ
National Provider Identifier
1144260258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4052
- Practice address
- 20470 N Lake Pleasant Rd
Ste 106
Peoria, AZ 85382-9708 - Phone
- (623) 584-7800
- Fax
- (623) 933-8625
- NPI assigned
- Jun 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4052 | AZ | Primary |
Addresses
Primary practice location
20470 N Lake Pleasant Rd
Ste 106
Peoria, AZ 85382-9708
Mailing address
20470 N Lake Pleasant Rd
Ste 106
Peoria, AZ 85382-9708
Phone (623) 584-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4052 | AZ | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1144260258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20470 N LAKE PLEASANT RD",
"address_2": "STE 106",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853829708",
"telephone_number": "623-584-7800",
"fax_number": "623-933-8625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20470 N LAKE PLEASANT RD",
"address_2": "STE 106",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853829708",
"telephone_number": "623-584-7800",
"fax_number": "623-933-8625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNER",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.