Maria-Luanna Bozzolo Shibuya

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3626 Issued in AZ

Practice address

5174 N Via de la Lanza
Tucson, AZ 85750-7077

Phone

(520) 615-2115

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria-Luanna Lucia Bozzolo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710022884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 NORTH VIA DE LA LANZA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857507077",
            "telephone_number": "520-615-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5174 N VIA DE LA LANZA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857507077",
            "telephone_number": "520-615-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIBUYA",
        "first_name": "MARIA-LUANNA",
        "middle_name": "BOZZOLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA-LUANNA",
            "last_name": "BOZZOLO",
            "middle_name": "LUCIA",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith Sharon Shew, MC
• Alexander Shi-Shi
• Christina Shi
• Jennifer Shi, AU.D.
• Ann M Shibuya, RN MS
• Peter L. S. Shibuya, PH.D.
• Holly D Shiel, RN
• Eugene Randolph Shields, M.D.
• Linda Belle Shields, FNPC
• Shelby Cherise Shields, MA, BCBA

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.