Individual provider Active NPI

Larisa E Newell, PH.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1801852991
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3330 Issued in AZ
Practice address
7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113
Phone
(602) 478-1477
Fax
(602) 773-0998
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3330 AZ Primary

Addresses

Primary practice location

7047 E Greenway Pkwy Ste 250
Scottsdale, AZ 85254-8113

Mailing address

7047 E Greenway Pkwy Ste 205
Scottsdale, AZ 85254-8107
Phone (602) 478-1477

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
I20040811000355 AZ Practitioner - Clinical Psychologist 6608848593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7047 E Greenway Pkwy
Suite 250
Scottsdale, AZ 85254-8113
Phone (602) 478-1477

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
644NMMDPsychoanalysis Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Risa E. Newell, PH.D., L.L.C. Clinical CurrentSince May 20, 2004 Accepting new patients

Locations

11110 N Tatum Blvd
Ste 103
Phoenix, AZ 85028
Phone (602) 432-0800

7047 E Greenway Pkwy
Ste 250
Scottsdale, AZ 85254
Phone (480) 567-9771

Organizations & group practices 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1801852991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 205",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548107",
            "telephone_number": "602-478-1477",
            "fax_number": "602-773-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548113",
            "telephone_number": "602-478-1477",
            "fax_number": "602-773-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWELL",
        "first_name": "LARISA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.