Organization Active NPI

Az Advanced Tbi Diagnostics LLC

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1831066885
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
AZ ADVANCED TBI DIAGNOSTICS LLC
Practice address
3970 N Campbell Ave
Tucson, AZ 85719-1460
Phone
(520) 300-9561
NPI assigned
Oct 22, 2025
Last updated
Oct 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Nidia Mota
Title
Manager
Phone
(520) 300-9561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X NU Primary

Addresses

Primary practice location

3970 N Campbell Ave
Tucson, AZ 85719-1460

Mailing address

1775 W University Dr Ste 127
Tempe, AZ 85281-3254
Phone (520) 300-9561

National Provider Directory

National Provider Directory

Locations

1775 W University Dr
Ste 127
Tempe, AZ 85281
Phone (480) 309-1335

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1831066885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 W UNIVERSITY DR STE 127",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852813254",
            "telephone_number": "520-300-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 N CAMPBELL AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191460",
            "telephone_number": "520-300-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZ ADVANCED TBI DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "MOTA",
        "authorized_official_first_name": "NIDIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "520-300-9561"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.