Sunlight Center for Change

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3963 Issued in AZ

Legal business name

SUNLIGHT CENTER FOR CHANGE

Practice address

780 N Promontory Dr
Tucson, AZ 85748-3545

Phone

(520) 344-0056

NPI assigned

Jan 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Holly Jindrick, PSY.D.

Title

Ceo/President

Phone

(520) 344-0056

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Holly Jindrick Joubert, PSY.D.

  • Clinical Psychologist
  • Tucson, AZ
  • NPI 1437583838
  NPD (past)

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1972833218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S HOUGHTON RD",
            "address_2": "#138-200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486731",
            "telephone_number": "520-344-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 N PROMONTORY DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857483545",
            "telephone_number": "520-344-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT CENTER FOR CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "JINDRICK",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "520-344-0056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; 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.