Individual provider Active NPI

Angela Kenzslowe, PSYD

  • Clinical Psychologist
  • Luke AFB, AZ
National Provider Identifier
1679027668
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4757 Issued in AZ
Practice address
7219 N Litchfield Rd
Luke AFB, AZ 85309-1529
Phone
(623) 856-7579
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4757 AZ Primary

Addresses

Primary practice location

7219 N Litchfield Rd
Luke AFB, AZ 85309-1529

Mailing address

7860 E Camelback Rd Unit 310
Scottsdale, AZ 85251-2262
Phone (602) 435-3909

Other practice location 1

7860 E Camelback Rd Unit 310
Scottsdale, AZ 85251-2262
Phone (602) 435-3909

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

State licenses

LicenseStateTypeSpecialty
4757AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Heart Behavioral Health LLC CurrentSince Feb 1, 2020 Accepting new patients

Locations

4700 S Mill Ave
Ste B5
Tempe, AZ 85282

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1679027668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7860 E CAMELBACK RD UNIT 310",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852512262",
            "telephone_number": "602-435-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7219 N LITCHFIELD RD",
            "city": "LUKE AFB",
            "state": "AZ",
            "postal_code": "853091529",
            "telephone_number": "623-856-7579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7860 E Camelback Rd Unit 310",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852512262",
            "country_code": "US",
            "telephone_number": "602-435-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENZSLOWE",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luke AFB, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.