Irna Lynn Shamos, PH.D. ABPP

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2082 Issued in AZ

Practice address

4516 East Onyx Avenue
Arizona Psychological Diagnostics, PLC
Phoenix, AZ 85028

Phone

(480) 664-9122

Fax

(480) 951-2355

NPI assigned

Jul 31, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Irna Lynn Wolf Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1366798050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 EAST ONYX AVENUE",
            "address_2": "ARIZONA PSYCHOLOGICAL DIAGNOSTICS, PLC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-664-9122",
            "fax_number": "480-951-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 EAST ONYX AVENUE",
            "address_2": "ARIZONA PSYCHOLOGICAL DIAGNOSTICS, PLC",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85028",
            "telephone_number": "480-664-9122",
            "fax_number": "480-951-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMOS",
        "first_name": "IRNA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PH.D. ABPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "2082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRNA",
            "last_name": "WOLF",
            "middle_name": "LYNN",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rachel Weinstein Shamah, MS OTRL
• Younus Mohammed Khaleel Shamam
• Quentin C Shambley
• Ayesha Shamim
• Shammah Recovery Center,LLC
• Raymond Frank Shamos, M.D.
• Anita Eileen Shamoun, FNP-C
• Megan Mary Shamoun, DO
• Menaj Shamsaee
• Nafis Shamsid-Deen, MD

• Clinical Neuropsychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.