Individual provider Active NPI

Aimee Cathrine Dolejs, CERTIFIED SCHOOL PSY

  • School Psychologist
  • El Mirage, AZ
National Provider Identifier
1609920867
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
11425 N Dysart Rd
El Mirage, AZ 85335-9233
Phone
(623) 876-7542
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X AZ Primary

Addresses

Primary practice location

11425 N Dysart Rd
El Mirage, AZ 85335-9233

Mailing address

11425 N Dysart Rd
El Mirage, AZ 85335-9233
Phone (623) 876-7542

Other identifiers 1

IdentifierTypeStateIssuer
973009MedicaidAZ

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1609920867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11425 N DYSART RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853359233",
            "telephone_number": "623-876-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11425 N DYSART RD",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853359233",
            "telephone_number": "623-876-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLEJS",
        "first_name": "AIMEE",
        "middle_name": "CATHRINE",
        "credential": "CERTIFIED SCHOOL PSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973009",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.