Sonoran Neuropsychology PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

SONORAN NEUROPSYCHOLOGY PLLC

Practice address

14300 N Northsight Blvd Ste 215
Scottsdale, AZ 85260-3677

Phone

(541) 905-4763

NPI assigned

Nov 11, 2020

Last updated

Jun 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Powell, PSYDNPI 1326474180

Title

President

Phone

(541) 905-4763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Julia Powell, PSY. D.

  • Clinical Neuropsychologist
  • Sun City, AZ
  • NPI 1326474180
  Medicare reassignment NPD Authorized official
• Kristi L. Husk, PSYD

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1720290398
  NPD
• Amber Leigh Mahan, PSY.D.

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1245819648
  NPD

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1932701307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 E PINNACLE PEAK RD STE G5-405",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852553618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 N NORTHSIGHT BLVD STE 215",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603677",
            "telephone_number": "541-905-4763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN NEUROPSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-905-4763",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoran Internal Medicine, LLC
• Sonoran Life Coaching, LLC (Sonoran Life Coaching and Counseling)
• Sonoran Medical Consulting Services PLLC
• Sonoran Mobile Medicine PLC
• Sonoran Neurology Specialists PLLC
• Sonoran Orthopaedic Trauma Surgeons
• Sonoran Sun Wellness, LLC (Arizona ZHC, LLC)
• Sonoran Treatment Center LLC
• Stefanie Sontag, PHARMD
• Dan Sorajja, M.D.

• Clinical Neuropsychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.