Active NPI
Jazz America Dolan, M.S.
- School Psychologist
- Tucson, AZ
National Provider Identifier
1275780108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 1010 E 10TH St
Tucson, AZ 85719-5813 - Phone
- (520) 908-5400
- Fax
- (520) 225-6170
- NPI assigned
- Aug 21, 2008
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
1010 E 10TH St
Tucson, AZ 85719-5813
Mailing address
1830 E Broadway Blvd Ste 124-214
Tucson, AZ 85719-5966
Phone (520) 908-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 994302 | Other | AZ | AHCCCS |
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1275780108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 E BROADWAY BLVD STE 124-214",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195966",
"telephone_number": "520-908-5400",
"fax_number": "480-889-0384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E 10TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857195813",
"telephone_number": "520-908-5400",
"fax_number": "520-225-6170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLAN",
"first_name": "JAZZ",
"middle_name": "AMERICA",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "994302",
"state": "AZ"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.