Individual provider Active NPI

Cornelia Pinnell, PH.D.

  • Psychologist
  • Glendale, AZ
National Provider Identifier
1851317325
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
AZ3304 Issued in AZ
Practice address
18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491
Phone
(623) 979-8290
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X AZ3304 AZ Primary

Addresses

Primary practice location

18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491

Mailing address

18205 N 51St Ave Ste 109
Glendale, AZ 85308-1491
Phone (623) 979-8290

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
I20061009000321 AZ Practitioner - Clinical Psychologist 5597761957 Practice locations: Glendale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18205 N 51St Ave BLDG
2 Suite 109
Glendale, AZ 85308-1490

18205 N 51St Ave BLDG 2
Suite 109
Glendale, AZ 85308-1491
Phone (623) 979-8290

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AZ3304AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Anesthesia Consultants, Inc. PastSince Jun 23, 2024 Accepting new patients
Growing Edges LLC PastSince Oct 1, 2019 Accepting new patients
Wendy Chandross Cisw PC PastSince Jan 31, 2010 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1851317325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081491",
            "telephone_number": "623-979-8290",
            "fax_number": "602-548-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE STE 109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081491",
            "telephone_number": "623-979-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNELL",
        "first_name": "CORNELIA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "AZ3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.