NPIMap

Organization Active NPI

Karin R. Ahlstrand, PHD, PLLC

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1457876799
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3730 Issued in AZ
Legal business name
KARIN R. AHLSTRAND, PHD, PLLC
Practice address
5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445
Phone
(152) 024-3924
Fax
(520) 342-0136
NPI assigned
Aug 8, 2017
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Dr. Karin R Ahlstrand, PH.D.NPI 1154321925
Title
Clinical Neuropsychologist
Phone
(520) 954-9930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3730 AZ Primary
Psychologist 103T00000X 3730 AZ
Rehabilitation Psychologist 103TR0400X 3730 AZ

Addresses

Primary practice location

5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445

Mailing address

5501 N Swan Rd Ste 100
Tucson, AZ 85718-5445
Phone (152) 024-3924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171010002606 AZ Part B Supplier - Clinic/Group Practice 7315212735 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1457876799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N SWAN RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185445",
            "telephone_number": "152-024-3924",
            "fax_number": "520-342-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N SWAN RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857185445",
            "telephone_number": "152-024-3924",
            "fax_number": "520-342-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIN R. AHLSTRAND, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "AHLSTRAND",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "520-954-9930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3730",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3730",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "3730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.