Individual provider Active NPI

Kris E. Kratz, PH.D., ABPP

  • Clinical Neuropsychologist
  • Sun City, AZ
National Provider Identifier
1952392755
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
3899 Issued in AZ
Practice address
10494 W Thunderbird Blvd
Suite 108
Sun City, AZ 85351-3058
Phone
(623) 523-6921
Fax
(623) 583-8246
NPI assigned
Oct 31, 2005
Last updated
Oct 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3899 AZ
Clinical Neuropsychologist 103G00000X 3899 AZ Primary

Addresses

Primary practice location

10494 W Thunderbird Blvd
Suite 108
Sun City, AZ 85351-3058

Mailing address

10474 W Thunderbird Blvd
Suite 200
Sun City, AZ 85351-3023
Phone (623) 972-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Neuropsychology and Psychology Services, PLLC Clinical Neuropsychologist Current Accepting new patients
Arizona Neurological Institute, PC Past Accepting new patients

Organizations & group practices 2

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": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1952392755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD",
            "address_2": "SUITE 200",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513023",
            "telephone_number": "623-972-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10494 W THUNDERBIRD BLVD",
            "address_2": "SUITE 108",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513058",
            "telephone_number": "623-523-6921",
            "fax_number": "623-583-8246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRATZ",
        "first_name": "KRIS",
        "middle_name": "E.",
        "credential": "PH.D., ABPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3899",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.