Arizona Neuropsychology PC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

ARIZONA NEUROPSYCHOLOGY PC

Practice address

9832 N Hayden Rd
Suite 106
Scottsdale, AZ 85258-1298

Phone

(480) 945-3475

Fax

(480) 922-5569

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Page O'Brien, PH.D.

Title

President

Phone

(480) 945-3475

Specialties & licenses 7

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Karen C Olson, PHD

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1942432604
  NPD (past)
• Lana N. Susskind-Wilder, PSY.D.

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1376618520
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1609906932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581298",
            "telephone_number": "480-945-3475",
            "fax_number": "480-922-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "SUITE 106",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581298",
            "telephone_number": "480-945-3475",
            "fax_number": "480-922-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA NEUROPSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-945-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "Z60229",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.