Kristin Larson, ED.S.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

2930 E Northern Ave Ste A105
Phoenix, AZ 85028-4844

Phone

(480) 694-0012

NPI assigned

Apr 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Simply Psychology LLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1942994413
  NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1427678143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W CULLUMBER AVE APT 3031",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852334915",
            "telephone_number": "480-694-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 E NORTHERN AVE STE A105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284844",
            "telephone_number": "480-694-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "KRISTIN",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin@simplypsychservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "2930 E Northern Ave Ste A105",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850284844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Larson
• Joel S Larson, M.D.
• Kaitlin Jessica Larson, DO
• Kasie Rae Larson, DO
• Kaylee Larson
• Laura Larson, DNP
• Laura Ann Larson, MS CCCSLP
• McKell Alecia Larson, AUD. CCC-A
• Robert Douglas Larson, D.C.
• Thomas Arthur Larson, LISAC

• Cognitive & Behavioral Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Cognitive & Behavioral Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.