Individual provider Active NPI

Izabela Lange, ED.S.

  • School Psychologist
  • Scottsdale, AZ
National Provider Identifier
1386037604
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4721095 Issued in AZ
Practice address
8333 E. Via Paseo del Norte
1031
Scottsdale, AZ 85258-9998
Phone
(312) 218-8199
NPI assigned
Mar 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4721095 AZ Primary

Addresses

Primary practice location

8333 E. Via Paseo del Norte
1031
Scottsdale, AZ 85258-9998

Mailing address

8333 E. Via Paseo del Norte
1031
Scottsdale, AZ 85258-9998
Phone (312) 218-8199

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
4721095AZMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1386037604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 E. VIA PASEO DEL NORTE",
            "address_2": "1031",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852589998",
            "telephone_number": "312-218-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 E. VIA PASEO DEL NORTE",
            "address_2": "1031",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852589998",
            "telephone_number": "312-218-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "IZABELA",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4721095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 11, 2015; 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.