Individual provider Active NPI

Aimee Beth Goldstein, PH.D.

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1649417908
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423
Phone
(602) 406-3473
NPI assigned
Jan 8, 2009
Last updated
Mar 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary
Psychologist 103T00000X 3849 AZ

Addresses

Primary practice location

222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423

Mailing address

222 W Thomas Rd Ste 401
Phoenix, AZ 85013-4423
Phone (602) 406-3473

Other identifiers 1

IdentifierTypeStateIssuer
3849MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000587 AZ Practitioner - Clinical Psychologist 1355721085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

1343 N Alma School Rd
Suite 205
Chandler, AZ 85224-5903
Phone (480) 963-1853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3849AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pamela S Klonoff PHD PLLC Clinical Neuropsychologist CurrentSince Jan 22, 2023 Accepting new patients
Phoenician Medical Center, Inc CurrentSince Aug 1, 2022 Accepting new patients
Phoenix Neurological Institute, Inc Past Accepting new patients
Dignity Health PastSince Jan 22, 2023 Accepting new patients

Locations

1343 N Alma School Rd
Ste 160
Chandler, AZ 85224
Phone (480) 444-7447

1343 N Alma School Rd
Ste 205
Chandler, AZ 85224
Phone (480) 722-2588

1343 N Alma School Rd
Ste 295
Chandler, AZ 85224
Phone (480) 496-2869

606 N Country Club Dr
Ste 1
Mesa, AZ 85201
Phone (480) 969-3511

222 W Thomas Rd
Ste 401
Phoenix, AZ 85013
Phone (602) 406-3473

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1649417908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W THOMAS RD STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134423",
            "telephone_number": "602-406-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W THOMAS RD STE 401",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134423",
            "telephone_number": "602-406-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "AIMEE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3849",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.