Organization Active NPI

Withinsight Psychological Services PLLC

  • Psychologist
  • Chandler, AZ
National Provider Identifier
1184000317
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1939 Issued in AZ
Legal business name
WITHINSIGHT PSYCHOLOGICAL SERVICES PLLC
Practice address
3200 N Dobson Rd
Suite D3
Chandler, AZ 85224-9601
Phone
(480) 650-9144
Fax
(480) 264-2763
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Carolyn A Jones, PH.D.
Title
Psychologist
Phone
(480) 650-9144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1939 AZ Primary

Addresses

Primary practice location

3200 N Dobson Rd
Suite D3
Chandler, AZ 85224-9601

Mailing address

9920 S Rual Road
Suite 108-31
Tempe, AZ 85284-4100
Phone (480) 650-9144

Other identifiers 1

IdentifierTypeStateIssuer
1689618266OtherAZTYPE 1 NPI NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1184000317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 S RUAL ROAD",
            "address_2": "SUITE 108-31",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852844100",
            "telephone_number": "480-650-9144",
            "fax_number": "480-264-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 N DOBSON RD",
            "address_2": "SUITE D3",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852249601",
            "telephone_number": "480-650-9144",
            "fax_number": "480-264-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHINSIGHT PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-650-9144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI NUMBER",
            "identifier": "1689618266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.