Organization Active NPI

Scottsdale Womens Psychology & Consulting PLLC

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1780155473
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SCOTTSDALE WOMENS PSYCHOLOGY & CONSULTING PLLC
Practice address
7527 E 1St St Ste 8
Scottsdale, AZ 85251-4501
Phone
(480) 773-6717
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Dr. Meredith Van TineNPI 1982197679
Title
Owner
Phone
(480) 773-6717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7527 E 1St St Ste 8
Scottsdale, AZ 85251-4501

Mailing address

7527 E 1St St Ste 8
Scottsdale, AZ 85251-4501
Phone (480) 773-6717

National Provider Directory

National Provider Directory

Locations

7527 E 1st St
Ste 8
Scottsdale, AZ 85251
Phone (480) 773-6717

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1780155473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 E 1ST ST STE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514501",
            "telephone_number": "480-773-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 E 1ST ST STE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514501",
            "telephone_number": "480-773-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE WOMENS PSYCHOLOGY & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "VAN TINE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-773-6717",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.