Kidscope LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

KIDSCOPE LLC

Practice address

13055 W McDowell Rd
Suite G-112
Avondale, AZ 85392-6449

Phone

(602) 792-5021

Fax

(602) 792-5262

NPI assigned

Oct 23, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Pamela S Davis

Title

Ceo/Managing Member

Phone

(602) 614-9197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1730432188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "SUITE G-112",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926449",
            "telephone_number": "623-792-5021",
            "fax_number": "623-792-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W MCDOWELL RD",
            "address_2": "SUITE G-112",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926449",
            "telephone_number": "602-792-5021",
            "fax_number": "602-792-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSCOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO/MANAGING MEMBER",
        "authorized_official_telephone_number": "602-614-9197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Zain Khan Khakwani, MD
• Khanh Ngo OD
• Dena M Khoury, D.M.D.
• Ryan Kibbler
• Kids Dental Avondale, LLC
• Jenny Kien, FNP-C
• Taylor Kilbourne
• John J. Kim, D.D.S.
• King of Kings Therapy Consultants LLC
• Damon King

• Adolescent and Children Mental Health Clinic/Center in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Adolescent and Children Mental Health Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.