Individual provider Active NPI

Kristi L. Husk, PSYD

  • Clinical Neuropsychologist
  • Scottsdale, AZ
National Provider Identifier
1720290398
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3959 Issued in AZ
Practice address
14300 N Northsight Blvd Ste 215
Scottsdale, AZ 85260-3677
Phone
(602) 406-3473
Fax
(602) 406-4406
NPI assigned
May 4, 2007
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3959 AZ Primary

Addresses

Primary practice location

14300 N Northsight Blvd Ste 215
Scottsdale, AZ 85260-3677

Mailing address

File 56765
Los Angeles, CA 90074-6765
Phone (602) 406-3860

Other identifiers 1

IdentifierTypeStateIssuer
489117MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100224000928 AZ Practitioner - Clinical Psychologist 8224135504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

14300 N Northsight Blvd
Suite 215
Scottsdale, AZ 85260-3677
Phone (623) 414-3279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1131NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mountainview Clinical Psychology, PLLC Clinical Neuropsychologist CurrentSince Nov 10, 2017 Accepting new patients
Sonoran Neuropsychology PLLC Clinical Neuropsychologist CurrentSince Sep 5, 2023 Accepting new patients
Elliot Professional Services PastSince Mar 25, 2013 Accepting new patients
Pamela S Klonoff PHD PLLC Clinical Neuropsychologist PastSince Jan 1, 2004 Accepting new patients
Dignity Health Past Accepting new patients
Elliot Professional Services Past Accepting new patients

Locations

14300 N Northsight Blvd
Ste 215
Scottsdale, AZ 85260
Phone (602) 688-7453

9590 E Ironwood Square Dr
Ste 109
Scottsdale, AZ 85258
Phone (623) 414-3279

9590 E Ironwood Square Dr
Ste 220
Scottsdale, AZ 85258
Phone (480) 509-7737

Organizations & group practices 6

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1720290398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FILE 56765",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900746765",
            "telephone_number": "602-406-3860",
            "fax_number": "602-406-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603677",
            "telephone_number": "602-406-3473",
            "fax_number": "602-406-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSK",
        "first_name": "KRISTI",
        "middle_name": "L.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "489117",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.