NPIMap

Organization Active NPI

University of Arizona Department of Psychology

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1467526954
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSA05ADHS0113 Issued in AZ
Legal business name
UNIVERSITY OF ARIZONA DEPARTMENT OF PSYCHOLOGY
Practice address
1503 E University Blvd
Tucson, AZ 85721-0001
Phone
(520) 621-7448
Fax
(520) 621-9306
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julie Feldman, PH.D.
Title
Mentor Program Director
Phone
(520) 621-7448

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSA05ADHS0113 AZ Primary

Addresses

Primary practice location

1503 E University Blvd
Tucson, AZ 85721-0001

Mailing address

1503 E University Blvd
Tucson, AZ 85721-0001
Phone (520) 621-7448

Other identifiers 1

IdentifierTypeStateIssuer
740565MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Northern Arizona Univer32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

Locations

1503 E University Blvd
Tucson, AZ 85721

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467526954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 E UNIVERSITY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-621-7448",
            "fax_number": "520-621-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 E UNIVERSITY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-621-7448",
            "fax_number": "520-621-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARIZONA DEPARTMENT OF PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MENTOR PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "520-621-7448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSA05ADHS0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740565",
            "state": "AZ"
        }
    ],
    "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 Aug 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.