Individual provider Active NPI

Emily Tepouha Bashah, PSY.D.

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1184163339
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4816 Issued in AZ
Practice address
13430 North Scottsdale Road
Suite #301a
Scottsdale, AZ 85254
Phone
(602) 909-0408
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4816 AZ Primary
Clinical Psychologist 103TC0700X 4816 AZ
Forensic Psychologist 103TF0200X 4816 AZ

Addresses

Primary practice location

13430 North Scottsdale Road
Suite #301a
Scottsdale, AZ 85254

Mailing address

P.O. Box 54837
Phoenix, AZ 85078
Phone (602) 909-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 13, 2018 through Aug 13, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4816AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1184163339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 54837",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85078",
            "telephone_number": "602-909-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 NORTH SCOTTSDALE ROAD",
            "address_2": "SUITE #301A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "602-909-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASHAH",
        "first_name": "EMILY",
        "middle_name": "TEPOUHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4816",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4816",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "4816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.