Active NPI
Amy Beth Wrabetz, PH.D.
- Clinical Psychologist
- Prescott, AZ
National Provider Identifier
1164529483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3263
- Practice address
- 500 N. Hwy 89
MHC (116)
Prescott, AZ 86313 - Phone
- (928) 776-6071
- Fax
- (928) 776-6125
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3263 | AZ | Primary |
Addresses
Primary practice location
500 N. Hwy 89
MHC (116)
Prescott, AZ 86313
Mailing address
Navahcs 500 N. Hwy 89
MHC (116)
Prescott, AZ 86313
Phone (928) 776-6071
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164529483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NAVAHCS 500 N. HWY 89",
"address_2": "MHC (116)",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-776-6071",
"fax_number": "928-776-6125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N. HWY 89",
"address_2": "MHC (116)",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86313",
"telephone_number": "928-776-6071",
"fax_number": "928-776-6125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRABETZ",
"first_name": "AMY",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, 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.