Active NPI
Kristen Northup
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1700587748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-005563
- Practice address
- 7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330 - Phone
- (602) 704-2345
- NPI assigned
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-005563 | AZ | Primary |
Addresses
Primary practice location
7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330
Mailing address
7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330
Phone (602) 704-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1700587748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 N 15TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204330",
"telephone_number": "602-704-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N 15TH ST STE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204330",
"telephone_number": "602-704-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHUP",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
- Northern Medical & Optical LLC
- Donald W Northfelt, M.D.
- Northside Family Dental Care
- Northstar Home Health LLC
- Northstar Homecare LLC
- Northview Pain Treatment Center, PLLC
- Northwest Cloinic for Children
- Northwest Interventional Anesthesiology Pain Managements, Inc.
- Northwest Oncology & Hematology, PLLC
- Arlene Norton, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.