Active NPI
Ellen R Dubiel
- School Psychologist
- Phoenix, AZ
National Provider Identifier
1972664993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 15002 N 32 St
Phoenix, AZ 85032-4441 - Phone
- (602) 867-5223
- Fax
- (602) 867-5252
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | AZ | Primary |
Addresses
Primary practice location
15002 N 32 St
Phoenix, AZ 85032-4441
Mailing address
15002 N 32 St
Phoenix, AZ 85032-4441
Phone (602) 867-5223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644696 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paradise Valley Unified School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Phoenix, AZ
- NPI 1205949575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1972664993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15002 N 32 ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324441",
"telephone_number": "602-867-5223",
"fax_number": "602-867-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15002 N 32 ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850324441",
"telephone_number": "602-867-5223",
"fax_number": "602-867-5252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIEL",
"first_name": "ELLEN",
"middle_name": "R",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "644696",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.