Individual provider Active NPI

Shefali Gandhi, PSY.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1316124076
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3946 Issued in AZ
Practice address
6615 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-4407
Phone
(602) 430-2051
Fax
(480) 614-0435
NPI assigned
Jan 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3946 AZ Primary

Addresses

Primary practice location

6615 N Scottsdale Rd Ste 100
Scottsdale, AZ 85250-4407

Mailing address

13395 E Sorrel LN
Scottsdale, AZ 85259-6315
Phone (602) 430-2051

Other names 1

  • Mrs. Shefali Mitesh Gandhi-Patel Other name

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

State licenses

LicenseStateTypeSpecialty
3946AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shefali Gandhi, Psy.D., P.L.L.C. Past Accepting new patients

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": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1316124076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13395 E SORREL LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852596315",
            "telephone_number": "602-430-2051",
            "fax_number": "480-614-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 N SCOTTSDALE RD STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504407",
            "telephone_number": "602-430-2051",
            "fax_number": "480-614-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDHI",
        "first_name": "SHEFALI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEFALI",
            "last_name": "GANDHI-PATEL",
            "middle_name": "MITESH",
            "prefix": "MRS.",
            "credential": "PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.