Active NPI
Paul Nicholas Duckro, PH.D.
- Psychologist
- Tucson, AZ
National Provider Identifier
1235305632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3514
- Practice address
- 2101 N Country Club Rd
Tucson, AZ 85716-2845 - Phone
- (520) 349-0615
- NPI assigned
- May 6, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3514 | AZ | Primary |
Addresses
Primary practice location
2101 N Country Club Rd
Tucson, AZ 85716-2845
Mailing address
7140 E River Canyon PL
Tucson, AZ 85750-2109
Phone (520) 349-0615
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3514 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1235305632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7140 E RIVER CANYON PL",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857502109",
"telephone_number": "520-349-0615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162845",
"telephone_number": "520-349-0615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKRO",
"first_name": "PAUL",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.