Individual provider Active NPI

Karin Ruth Ahlstrand, PH.D.

  • Psychologist
  • Tucson, AZ
National Provider Identifier
1154321925
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3730 Issued in AZ
Practice address
5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445
Phone
(520) 954-9930
Fax
(520) 342-0136
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 2901 CO
Psychologist 103T00000X 3730 AZ Primary
Clinical Neuropsychologist 103G00000X 3730 AZ

Addresses

Primary practice location

5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445

Mailing address

5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445
Phone (520) 954-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000722 AZ Practitioner - Clinical Psychologist 2961427828 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tucson Neuropsychology Institute LLCGroup PAC ID 0840655007, 5 clinicians

Practice addresses (Care Compare)

5501 N Swan Rd
Suite 100
Tucson, AZ 85718-5445
Phone (520) 954-9930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2901COMDSchool Counselor
3730AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Neuropsychology Institute LLC Psychologist CurrentSince Oct 31, 2023 Accepting new patients
Neuropsychology LTD Clinical Neuropsychologist Past Accepting new patients

Locations

6885 N Oracle Rd
Ste D
Tucson, AZ 85704
Phone (520) 367-8706

5501 N Swan Rd
Ste 100
Tucson, AZ 85718
Phone (520) 954-9930

Organizations & group practices 3

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1154321925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N SWAN RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185445",
            "telephone_number": "520-954-9930",
            "fax_number": "520-342-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N SWAN RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185445",
            "telephone_number": "520-954-9930",
            "fax_number": "520-342-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLSTRAND",
        "first_name": "KARIN",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "2901",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3730",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.