NPIMap

Organization Active NPI

The University of Arizona

  • Clinical Neuropsychologist
  • Tucson, AZ
National Provider Identifier
1831759240
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
THE UNIVERSITY OF ARIZONA
Practice address
1335 N Cherry Ave
Tucson, AZ 85721-0105
Phone
(520) 626-2982
Fax
(520) 626-2525
NPI assigned
Jun 18, 2019
Organization subpart
Yes
Parent organization
THE UNIVERSITY OF ARIZONAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Anna Gastelum
Title
Program Coordinator
Phone
(520) 626-2982

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103G00000X Primary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X

Addresses

Primary practice location

1335 N Cherry Ave
Tucson, AZ 85721-0105

Mailing address

1335 N Cherry Ave
Tucson, AZ 85721-0105
Phone (520) 626-2982

Other names 1

  • Arthritis Center- Disability Assessment Research Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
The University of Arizona College of Pharmacy19 organizations share this tax ID, including this one
Part of
The University of Arizona College of Pharmacy

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1335 N Cherry Ave
Tucson, AZ 85721
Phone (520) 626-2982

Practitioners & affiliated clinicians

Practitioners 3

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": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1831759240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N CHERRY AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210105",
            "telephone_number": "520-626-2982",
            "fax_number": "520-626-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 N CHERRY AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210105",
            "telephone_number": "520-626-2982",
            "fax_number": "520-626-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UNIVERSITY OF ARIZONA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE UNIVERSITY OF ARIZONA",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "GASTELUM",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "520-626-2982"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arthritis Center- Disability Assessment Research Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 18, 2019; 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.