Amy Serin PHD PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3859 Issued in AZ

Legal business name

AMY SERIN PHD PLLC

Practice address

9784 W Yearling Rd
B1580
Peoria, AZ 85383-1379

Phone

(623) 824-5051

Fax

(623) 825-6757

NPI assigned

May 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amy Serin, PHDNPI 1740459429

Title

Neuropsychologist

Phone

(623) 824-5051

Specialties & licenses 4

Addresses

Other names 1

• The Serin Center Doing business as

Locations

Practitioners 1

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

• Amy Serin, PHD

  • Clinical Neuropsychologist
  • Peoria, AZ
  • NPI 1740459429
  NPD (past) Authorized official

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1497074769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD",
            "address_2": "B1580",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-824-5051",
            "fax_number": "623-825-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9784 W YEARLING RD",
            "address_2": "B1580",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831379",
            "telephone_number": "623-824-5051",
            "fax_number": "623-825-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY SERIN PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "SERIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "623-824-5051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "3859",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3859",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Serin Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Ammon, OTR
• Ashwini Nayak Ammunje, M.D.
• Michael Kwesi Amponsah, MD
• Alexys Leanne Amuso
• Amy L Houston Academy
• An Elegant Smile Dentistry
• An Elegant Smile P.C.
• Kishlay Anand, M.D.
• Daniel C Anaya, LMT
• Devney Nicole Anaya, SLPA

• All providers in Peoria, AZ
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.