Organization Active NPI

Mountainview Clinical Psychology, PLLC

  • Clinical Neuropsychologist
  • Scottsdale, AZ
National Provider Identifier
1477066561
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3959 Issued in AZ
Legal business name
MOUNTAINVIEW CLINICAL PSYCHOLOGY, PLLC
Practice address
14300 N Northsight Blvd Ste 215
Scottsdale, AZ 85260-3677
Phone
(480) 280-6618
NPI assigned
Nov 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Authorized official

Name
Dr. Kristi Lynn Husk, PSY.D., CBISNPI 1720290398
Title
Neuropsychologist
Phone
(480) 280-6618

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 3959 AZ Primary

Addresses

Primary practice location

14300 N Northsight Blvd Ste 215
Scottsdale, AZ 85260-3677

Mailing address

3217 E Shea Blvd Ste 168
Phoenix, AZ 85028-3381
Phone (480) 280-6618

Other practice location 1

141 S McCormick St Ste 109
Prescott, AZ 86303-4730
Phone (480) 280-6618

Other identifiers 1

IdentifierTypeStateIssuer
489117MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180110002079 AZ Part B Supplier - Clinic/Group Practice 3375802788 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

3217 E Shea Blvd
Ste 168
Phoenix, AZ 85028

9590 E Ironwood Square Dr
Ste 109
Scottsdale, AZ 85258
Phone (623) 414-3279

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1477066561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 E SHEA BLVD STE 168",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283381",
            "telephone_number": "480-280-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603677",
            "telephone_number": "480-280-6618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 S McCormick St Ste 109",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863034730",
            "country_code": "US",
            "telephone_number": "480-280-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOUNTAINVIEW CLINICAL PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "HUSK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "480-280-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., CBIS"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489117",
            "state": "AZ"
        }
    ],
    "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 Aug 31, 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.