Individual provider Active NPI

Dana Kristina Princiotta, PH.D.

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1780004382
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4440 Issued in AZ
Practice address
1845 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1196
Phone
(520) 329-8298
Fax
(520) 329-8311
NPI assigned
Apr 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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 4440 AZ Primary

Addresses

Primary practice location

1845 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1196

Mailing address

1845 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1196
Phone (520) 329-8298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140708001440 AZ Practitioner - Clinical Psychologist 7810112836 Reassigns benefits to 2 organizations
I20240111004666 CO Practitioner - Clinical Psychologist 7810112836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minder Neuropsychological Services IncGroup PAC ID 8729442819, 9 clinicians

Practice addresses (Care Compare)

3854 E Gibbon Mountain PL
Tucson, AZ 85718-2321
Phone (855) 264-6337

9878 W Belleview Ave
Suite 2269
Denver, CO 80123-2101
Phone (855) 264-6337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4440AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Minder Neuropsychological Services Inc. Psychologist CurrentSince Dec 5, 2023 Accepting new patients
Doctor on Demand Professionals of California Psychologist CurrentSince Nov 12, 2023 Accepting new patients

Locations

8825 N 23rd Ave
Ste 100
Phoenix, AZ 85021
Phone 41550438389238

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

275 Battery St
Ste 650
San Francisco, CA 94111
Phone 4155043838104

9878 W Belleview Ave
Littleton, CO 80123
Phone (303) 978-1316

Interoperability endpoints

  • Direct secure messaging: dana.princiotta.1@30520.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1780004382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041196",
            "telephone_number": "520-329-8298",
            "fax_number": "520-329-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 W ORANGE GROVE RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041196",
            "telephone_number": "520-329-8298",
            "fax_number": "520-329-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCIOTTA",
        "first_name": "DANA",
        "middle_name": "KRISTINA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.