Meredith Van Tine, PSY.D., J.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-004958 Issued in AZ

Practice address

7527 E 1St St Ste 8
Scottsdale, AZ 85251-4501

Phone

(480) 773-6717

NPI assigned

Jun 7, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Juris Doctor

State licenses

Practice roles

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.

• Scottsdale Womens Psychology & Consulting PLLC

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1780155473
  NPD (past) Authorized official

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

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1982197679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 E 1ST ST STE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514501",
            "telephone_number": "480-773-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 E 1ST ST STE 8",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852514501",
            "telephone_number": "480-773-6717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN TINE",
        "first_name": "MEREDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-07",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-004958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Van Regenmorter, M.A., CCC-SLP
• Polly Whitman Van Rensburg, PH. D.
• Maria F Van Rooyen, PHARMACIST
• Paul Ryan Van Schuyver, MD
• Nicole Renee Van Spronsen, MD
• Cassandra Van Voorhees
• Laura Van Wyk, APRN
• Alexandra Vanatta, M.D.
• Jason Vance, M.D.
• Vandahl Engineering and Sales LTD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.