Organization Active NPI

Brain-Body Wellness and Biofeedback

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1477095024
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4772 Issued in AZ
Legal business name
BRAIN-BODY WELLNESS AND BIOFEEDBACK
Practice address
10752 N 89TH PL Ste 227C
Scottsdale, AZ 85260-6745
Phone
(480) 744-3040
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Alexandra Schilling, PSY.D.NPI 1437604261
Title
Owner
Phone
(480) 744-3040

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 PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4772 AZ Primary

Addresses

Primary practice location

10752 N 89TH PL Ste 227C
Scottsdale, AZ 85260-6745

Mailing address

10752 N 89TH PL Ste 227C
Scottsdale, AZ 85260-6745

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170208001784 AZ Part B Supplier - Clinic/Group Practice 7214210665 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

National Provider Directory

National Provider Directory

Locations

10752 N 89th Pl
Ste 227C
Scottsdale, AZ 85260
Phone (480) 744-3040

7730 E Greenway Rd
Ste 205
Scottsdale, AZ 85260
Phone (480) 535-1980

Practitioners & affiliated clinicians

Practitioners 7

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1477095024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 227C",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10752 N 89TH PL STE 227C",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606745",
            "telephone_number": "480-744-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN-BODY WELLNESS AND BIOFEEDBACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-744-3040",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4772",
            "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 Nov 14, 2016; 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.