Individual provider Active NPI

Shemira Murji, PH.D.

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1316012438
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3597 Issued in AZ
Practice address
4047 N 40TH PL
Phoenix, AZ 85018-5206
Phone
(623) 203-3336
Fax
(602) 957-2837
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3597 AZ
Clinical Neuropsychologist 103G00000X 3597 AZ Primary

Addresses

Primary practice location

4047 N 40TH PL
Phoenix, AZ 85018-5206

Mailing address

3735 E Nambe CT
Phoenix, AZ 85044-3874
Phone (623) 203-3336

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
I20070222000459 AZ Practitioner - Clinical Psychologist 2567564503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15215 S 48TH St
Suite 150
Phoenix, AZ 85044-9139
Phone (623) 203-3336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3597AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ways to Well Being LLC Clinical Neuropsychologist CurrentSince Mar 3, 2007 Accepting new patients

Locations

15215 S 48th St
Ste 150
Phoenix, AZ 85044
Phone (480) 496-9760

4047 N 40th Pl
Phoenix, AZ 85018
Phone (602) 313-0927

Organizations & group practices 1

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1316012438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 E NAMBE CT",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443874",
            "telephone_number": "623-203-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 N 40TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185206",
            "telephone_number": "623-203-3336",
            "fax_number": "602-957-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURJI",
        "first_name": "SHEMIRA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3597",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.