Individual provider Active NPI

Lynn Klein, ED.D.

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1548485907
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3592 Issued in AZ
Practice address
4222 E. Camelback Rd
Suite 230H
Scottsdale, AZ 85262
Phone
(602) 852-0911
NPI assigned
Apr 13, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3592 AZ Primary

Addresses

Primary practice location

4222 E. Camelback Rd
Suite 230H
Scottsdale, AZ 85262

Mailing address

40204 N 110TH PL
Scottsdale, AZ 85262-4963
Phone (480) 595-0731

Other practice location 1

4915 W Bell Rd Ste 202
Glendale, AZ 85308-3468
Phone (480) 353-7354

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3592AZMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1548485907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40204 N 110TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852624963",
            "telephone_number": "480-595-0731",
            "fax_number": "480-595-0305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 E. CAMELBACK RD",
            "address_2": "SUITE 230H",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85262",
            "telephone_number": "602-852-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4915 W Bell Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853083468",
            "country_code": "US",
            "telephone_number": "480-353-7354",
            "fax_number": "480-935-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "LYNN",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3592",
            "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 20, 2019; 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.