Active NPI
Linda Vance Ross, PH.D.
- Clinical Psychologist
- Phoenix, AZ
National Provider Identifier
1710070271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3045
- Practice address
- 124 W Thomas
Children'S Rehabilitation Service
Phoenix, AZ 85013 - Phone
- (602) 406-6455
- Fax
- (602) 406-7166
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 3045 | AZ | Primary |
Addresses
Primary practice location
124 W Thomas
Children'S Rehabilitation Service
Phoenix, AZ 85013
Mailing address
1719 E Frier Drive
Phoenix, AZ 85020-4413
Phone (602) 678-1894
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3045 | AZ | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710070271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1719 E FRIER DRIVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850204413",
"telephone_number": "602-678-1894",
"fax_number": "602-406-7166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 W THOMAS",
"address_2": "CHILDREN'S REHABILITATION SERVICE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85013",
"telephone_number": "602-406-6455",
"fax_number": "602-406-7166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "LINDA",
"middle_name": "VANCE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- 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.