NPIMap

Organization Active NPI

Neuropsychology Specialists

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1144379678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3265 Issued in AZ
Legal business name
NEUROPSYCHOLOGY SPECIALISTS
Practice address
3420 E Shea Blvd
Suite 111
Phoenix, AZ 85028-3345
Phone
(602) 996-1200
Fax
(602) 996-4501
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Lanie Zigler, PH.D.
Title
Neuropsychologist and President
Phone
(602) 996-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 3265 AZ Primary

Addresses

Primary practice location

3420 E Shea Blvd
Suite 111
Phoenix, AZ 85028-3345

Mailing address

3420 E Shea Blvd
Suite 111
Phoenix, AZ 85028-3345
Phone (602) 996-1200

Other identifiers 1

IdentifierTypeStateIssuer
445967MedicaidAZ

National Provider Directory

National Provider Directory

Locations

3420 E Shea Blvd
Ste 111
Phoenix, AZ 85028
Phone (602) 996-1200

Practitioners & affiliated clinicians

Practitioners 2

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144379678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD",
            "address_2": "SUITE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283345",
            "telephone_number": "602-996-1200",
            "fax_number": "602-996-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 E SHEA BLVD",
            "address_2": "SUITE 111",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283345",
            "telephone_number": "602-996-1200",
            "fax_number": "602-996-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGY SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIGLER",
        "authorized_official_first_name": "LANIE",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST AND PRESIDENT",
        "authorized_official_telephone_number": "602-996-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "445967",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.