NPIMap

Organization Active NPI

Advances in Applied Psychology, P.C.

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1225212822
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1113 Issued in AZ
Legal business name
ADVANCES IN APPLIED PSYCHOLOGY, P.C.
Practice address
10250 N 92ND St
Suite 303
Scottsdale, AZ 85258-4510
Phone
(480) 391-1184
Fax
(480) 391-9717
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Dr. Mamiko M Odegard, PH.D.NPI 1235341785
Title
Psychologist
Phone
(480) 391-1184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1113 AZ Primary

Addresses

Primary practice location

10250 N 92ND St
Suite 303
Scottsdale, AZ 85258-4510

Mailing address

10250 N 92ND St
Suite 303
Scottsdale, AZ 85258-4510
Phone (480) 391-1184

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1225212822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST",
            "address_2": "SUITE 303",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584510",
            "telephone_number": "480-391-1184",
            "fax_number": "480-391-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 N 92ND ST",
            "address_2": "SUITE 303",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584510",
            "telephone_number": "480-391-1184",
            "fax_number": "480-391-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCES IN APPLIED PSYCHOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ODEGARD",
        "authorized_official_first_name": "MAMIKO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "480-391-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.