Individual provider Active NPI

Jose Arauz

  • Clinical Psychologist
  • Reno, NV
National Provider Identifier
1659825693
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY1027 Issued in NV
Practice address
1664 N Virginia St
Reno, NV 89557-6037
Phone
(775) 784-4648
NPI assigned
Aug 8, 2016
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS01999 RI
Clinical Psychologist 103TC0700X PY1027 NV Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1664 N Virginia St
Reno, NV 89557-6037

Mailing address

950 Warren Ave Ste 104
East Providence, RI 02914-1432
Phone (401) 606-0606

Other practice location 1

13130 Burbank Blvd
Sherman Oaks, CA 91401-6037
Phone (818) 779-5262

Other practice location 2

950 Warren Ave Ste 104
East Providence, RI 02914-1432
Phone (401) 606-0606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20220114001538 RI Practitioner - Clinical Psychologist 4486046877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians

Practice addresses (Care Compare)

950 Warren Ave
Suite 104
East Providence, RI 02914-1432
Phone (401) 606-3711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY1027NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Physician Group, Inc. Clinical CurrentSince Jan 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jan 1, 2022 Accepting new patients

Locations

950 Warren Ave
Ste 104
East Providence, RI 02914
Phone (401) 606-0606

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

593 Eddy St
Providence, RI 02903

Organizations & group practices 2

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1659825693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WARREN AVE STE 104",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141432",
            "telephone_number": "401-606-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N VIRGINIA ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895576037",
            "telephone_number": "775-784-4648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13130 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914016037",
            "country_code": "US",
            "telephone_number": "818-779-5262",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Warren Ave Ste 104",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029141432",
            "country_code": "US",
            "telephone_number": "401-606-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAUZ",
        "first_name": "JOSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01999",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY1027",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.