NPIMap

Organization Active NPI

Pediatric Psychology Associates, LTD.

  • Psychologist
  • Tucson, AZ
National Provider Identifier
1487909669
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4202 Issued in AZ
Legal business name
PEDIATRIC PSYCHOLOGY ASSOCIATES, LTD.
Practice address
1980 E Fort Lowell Rd
Suite 150
Tucson, AZ 85719-2326
Phone
(520) 296-4280
Fax
(520) 296-3835
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Janice Relph Sammons, PH.D.NPI 1073893871
Title
Psychologist
Phone
(520) 296-4280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 4202 AZ Primary

Addresses

Primary practice location

1980 E Fort Lowell Rd
Suite 150
Tucson, AZ 85719-2326

Mailing address

1980 E Fort Lowell Rd
Suite 150
Tucson, AZ 85719-2326
Phone (520) 296-4280

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1487909669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 E FORT LOWELL RD",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192326",
            "telephone_number": "520-296-4280",
            "fax_number": "520-296-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 E FORT LOWELL RD",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192326",
            "telephone_number": "520-296-4280",
            "fax_number": "520-296-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PSYCHOLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "SAMMONS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "RELPH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "520-296-4280",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "4202",
            "primary": true
        }
    ],
    "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 Jul 13, 2012; 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.