Amy Serin, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3859 Issued in AZ

Practice address

10200 W Happy Valley Rd
Suite A135
Peoria, AZ 85383-2878

Phone

(623) 824-5051

Fax

(623) 889-9000

NPI assigned

Feb 26, 2008

Last updated

Aug 7, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Amy Serin PHD PLLC

  dba The Serin Center

  • Clinical Neuropsychologist
  • Peoria, AZ
  • NPI 1497074769
  NPD (past) Authorized official

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1740459429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY RD",
            "address_2": "SUITE A135",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "623-824-5051",
            "fax_number": "623-889-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 W HAPPY VALLEY RD",
            "address_2": "SUITE A135",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832878",
            "telephone_number": "623-824-5051",
            "fax_number": "623-889-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIN",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-26",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3859",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3859",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seltzer Medical Legal Consulting, LLC
• Dana G Seltzer, M.D.
• Paul Sepuka, RPH
• Miranda Sereda, DPT
• Serene Valley Care LLC
• Claudia P Serrano
• Abby Serreyn
• Jesse S Sethi, MD
• Salil Sethi, MD
• Victoria Elena Setka, P.T.

• Clinical Neuropsychologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.