Active NPI
Abigail Atkins, EDD
- Psychologist
- Glendale, AZ
National Provider Identifier
1609957315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 3643
- Practice address
- 20280 N 59TH Ave Ste 115-620
Glendale, AZ 85308-6850 - Phone
- (602) 870-3162
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 3643 | AZ | Primary |
| Clinical Psychologist | 103TC0700X | PSY 9691 | CA |
Addresses
Primary practice location
20280 N 59TH Ave Ste 115-620
Glendale, AZ 85308-6850
Mailing address
20280 N 59TH Ave Ste 115-620
Glendale, AZ 85308-6850
Phone (602) 870-3162
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Sun City, AZ 85351
Phone 60287031622
20280 N 59TH Ave
Glendale, AZ 85308-6850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 3643 | AZ | MD | Psychologist |
| PSY 9691 | CA | MD | Clinical Psychologist |
| 3643 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224
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": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1609957315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20280 N 59TH AVE STE 115-620",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086850",
"telephone_number": "602-870-3162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20280 N 59TH AVE STE 115-620",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853086850",
"telephone_number": "602-870-3162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINS",
"first_name": "ABIGAIL",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2022-04-05",
"certification_date": "2022-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY 3643",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 9691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.