Individual provider Active NPI

Alicia A Garcia, PHD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1497853311
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03552 Issued in AZ
Practice address
10613 N Hayden Rd
Suite J-100
Scottsdale, AZ 85260-5683
Phone
(480) 609-2855
Fax
(480) 609-2852
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 03552 AZ Primary

Addresses

Primary practice location

10613 N Hayden Rd
Suite J-100
Scottsdale, AZ 85260-5683

Mailing address

14188 N 106TH Way
Scottsdale, AZ 85255-1762
Phone (480) 609-2855

Other identifiers 1

IdentifierTypeStateIssuer
861037489OtherAZTAX ID

Other names 1

  • Abby Garcia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
03552AZMDClinical Psychologist
3552AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rodriguez Psychological Services PastSince Mar 3, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1497853311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14188 N 106TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852551762",
            "telephone_number": "480-609-2855",
            "fax_number": "480-609-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10613 N HAYDEN RD",
            "address_2": "SUITE J-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605683",
            "telephone_number": "480-609-2855",
            "fax_number": "480-609-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ALICIA",
        "middle_name": "A",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "03552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "861037489",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABBY",
            "last_name": "GARCIA",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 6, 2011; 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.