Surabhi Yeshwant Patwardhan, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4454 Issued in AZ

Practice address

3550 N Central Ave Ste 1407
Phoenix, AZ 85012-2112

Phone

(602) 216-6900

Fax

(602) 371-9889

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neuroglia PLLCGroup PAC ID 7113352915, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Gilbert Medical Center Hospital, Gilbert, AZ, CCN 030119

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Neuroglia PLLC

  • Clinical Neuropsychologist
  • Gilbert, AZ
  • NPI 1952949380
  Medicare reassignment Care Compare group NPD Authorized official
• Arizona Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Chandler, AZ
  • NPI 1639494883
  Medicare reassignment NPD
• Catherine S. O'Connell, PC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1912048422
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  • General Acute Care Hospital
  • Gilbert, AZ
  • NPI 1992735088
  Care Compare affiliation

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1164864161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 S PRICE RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483544",
            "telephone_number": "480-855-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N CENTRAL AVE STE 1407",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122112",
            "telephone_number": "602-216-6900",
            "fax_number": "602-371-9889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3115 S Price Rd",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852483544",
            "country_code": "US",
            "telephone_number": "847-913-4154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATWARDHAN",
        "first_name": "SURABHI",
        "middle_name": "YESHWANT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yale C Patton III, RPH
• Zackary William Patton
• Patulla Behavioral Health Care LLC
• Patulla Behavioral Health Services LLC
• Anuradha Paturi, MD
• Raegyn Patzer
• Paul a Dalton MD LTD
• Paul E English MD Inc
• Paul Gaitan PLLC
• Paul John Hannan MD PC

• Clinical Neuropsychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.