Individual provider Active NPI

Amber Leigh Mahan, PSY.D.

  • Clinical Neuropsychologist
  • Scottsdale, AZ
National Provider Identifier
1245819648
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
5665 Issued in AZ
Practice address
13430 N Scottsdale Rd Ste 204
Scottsdale, AZ 85254-4058
Phone
(480) 569-2244
Fax
(480) 885-2587
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 5665 AZ Primary

Addresses

Primary practice location

13430 N Scottsdale Rd Ste 204
Scottsdale, AZ 85254-4058

Mailing address

13430 N Scottsdale Rd Ste 204
Scottsdale, AZ 85254-4058
Phone (480) 569-2244

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240408001578 AZ Practitioner - Clinical Psychologist 8527406727 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13430 N Scottsdale Rd
Suite 204
Scottsdale, AZ 85254-4058
Phone (480) 569-2244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5665AZMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Rose Neuropsychology PLLC Clinical Neuropsychologist CurrentSince Feb 3, 2025 Accepting new patients
Mountainview Clinical Psychology, PLLC Clinical Neuropsychologist CurrentSince Mar 4, 2024 Accepting new patients
Sonoran Neuropsychology PLLC Clinical Neuropsychologist CurrentSince Mar 4, 2024 Accepting new patients

Locations

13430 N Scottsdale Rd
Ste 204
Scottsdale, AZ 85254
Phone (305) 986-1148

14300 N Northsight Blvd
Ste 215
Scottsdale, AZ 85260
Phone (602) 688-7453

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1245819648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544058",
            "telephone_number": "480-569-2244",
            "fax_number": "480-885-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13430 N SCOTTSDALE RD STE 204",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544058",
            "telephone_number": "480-569-2244",
            "fax_number": "480-885-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHAN",
        "first_name": "AMBER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "5665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.