Azita Abtin, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3620 Issued in AZ

Practice address

5210 E Pima St
Suite 200
Tucson, AZ 85712-3664

Phone

(520) 272-9497

Fax

(520) 795-3575

NPI assigned

Apr 28, 2006

Last updated

Mar 24, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1508823766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 S ABBIE LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108543",
            "telephone_number": "520-272-9497",
            "fax_number": "520-795-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 E PIMA ST",
            "address_2": "SUITE 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123664",
            "telephone_number": "520-272-9497",
            "fax_number": "520-795-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABTIN",
        "first_name": "AZITA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Abrams, LMSW
• Steven Joel Abrams, DPM
• Artyom Abramyan, DO
• Jordyn Marie Abrego, PHARMD
• Vivienne Fallarme Abrugena, NP
• Dima Mohammad Ghazi Abu Afifeh, MD
• Yara Abu Salah
• Ahmed Mufeed Abed Abuawad
• Bedri Ibrahim Abubeker, MD
• Mohammad Abudoush, MD

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.