Ayni Neuroscience Institute Inc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

AYNI NEUROSCIENCE INSTITUTE INC

Practice address

2720 Central Ave SE Ste G210
Albuquerque, NM 87106-2862

Phone

(505) 710-2312

NPI assigned

Oct 13, 2019

Last updated

Jan 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Charles Carroll, MDNPI 1659333961

Title

Founder and Ceo

Phone

(505) 710-2312

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott C Carroll, MD

  • Child & Adolescent Psychiatry Physician
  • Albuquerque, NM
  • NPI 1659333961
  Authorized official Same address or phone

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

{
    "created_epoch": "1570924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577836800000",
    "number": "1295377083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 MONTE VISTA BLVD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061327",
            "telephone_number": "505-710-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 CENTRAL AVE SE STE G210",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062862",
            "telephone_number": "505-710-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYNI NEUROSCIENCE INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-13",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "FOUNDER AND CEO",
        "authorized_official_telephone_number": "505-710-2312",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel V Ayala, MS, CCC-SLP
• Jack Anthony Ayala I
• Sabrina Ayazi, MA
• Onur Aydinoglu, D.O.M.
• Mark Ayers
• Amryn Ayres, PT, DPT
• Nagendra Sarat Chandra Ayyagari, MD
• Raana Fryer Azad, MS
• Kyri Elizabeth Azar, LPCC
• Moona Azeem, M.D.

• Child & Adolescent Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Child & Adolescent Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; 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.