Active NPI
Stephanie A Vitanza, PHD
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1639226061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3425
- Practice address
- 6615 N. Scottsdale Road
Suite 100
Scottsdale, AZ 85250 - Phone
- (602) 391-4308
- Fax
- (480) 219-4605
- NPI assigned
- Jan 5, 2007
- Last updated
- Jan 20, 2017
- 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 | 3425 | AZ | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 3425 | AZ |
Addresses
Primary practice location
6615 N. Scottsdale Road
Suite 100
Scottsdale, AZ 85250
Mailing address
6615 N. Scottsdale Road
Suite 100
Scottsdale, AZ 85250
Phone (602) 391-4308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 832007 | Other | AZ | ACCCHS NUMBER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3425 | AZ | MD | Registered Respiratory Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1639226061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6615 N. SCOTTSDALE ROAD",
"address_2": "SUITE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85250",
"telephone_number": "602-391-4308",
"fax_number": "480-219-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6615 N. SCOTTSDALE ROAD",
"address_2": "SUITE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "85250",
"telephone_number": "602-391-4308",
"fax_number": "480-219-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITANZA",
"first_name": "STEPHANIE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3425",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "AZ",
"license": "3425",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCCHS NUMBER",
"identifier": "832007",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
- Vital Palliative Care, LLC (Vital Palliative Care)
- Vitala Healthcare, LLC
- Vitalab Pharmacy Inc (Vasco Infusion)
- Vitalant (United Blood Services)
- Vitality Slim Clinic Limited Liability Company (Vitality Slim Clinic LLC)
- Nathan Vitaro, NMD
- Viva IV Therapy LLC
- Vivek Healthcare Associates
- Sara M Vizcarra, D.D.S.
- Aleah Danielle Vizinau, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.