Active NPI
Kiran Amin, PH.D.
- Clinical Neuropsychologist
- Phoenix, AZ
National Provider Identifier
1275969867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 1578
- Practice address
- 720 E Peoria Ave
Phoenix, AZ 85020-1575 - Phone
- (602) 678-5768
- Fax
- (602) 466-7500
- NPI assigned
- Sep 16, 2013
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 1578 | AZ | Primary |
Addresses
Primary practice location
720 E Peoria Ave
Phoenix, AZ 85020-1575
Mailing address
720 E Peoria Ave
Phoenix, AZ 85020-1575
Phone (602) 678-5768
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 |
|---|---|---|---|
| 1578 | AZ | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1275969867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E PEORIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850201575",
"telephone_number": "602-678-5768",
"fax_number": "602-466-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E PEORIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850201575",
"telephone_number": "602-678-5768",
"fax_number": "602-466-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMIN",
"first_name": "KIRAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-09-16",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "1578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.