DR. SURABHI YESHWANT PATWARDHAN


Address: 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112
Phone: 6022166900

DR. SURABHI YESHWANT PATWARDHAN (NPI# 1164864161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164864161
Entity Type Individual
Full Name DR. SURABHI YESHWANT PATWARDHAN
Credential PH.D.
Practice Address 3550 N Central Ave Ste 1407
Phoenix
AZ 85012-2112
Mailing Address 3115 S Price Rd
Chandler
AZ 85248-3544
Practice Telephone 6022166900
Practice Fax Number 6023719889
Mailing Telephone 4808554011
Enumeration Date 2013-07-19
Last Update Date 2019-11-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 4454 AZ Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3115 S Price Rd, Chandler, AZ 852483544 8479134154

Office Location

Street Address 3550 N CENTRAL AVE STE 1407
City PHOENIX
State AZ
Zip Code 85012-2112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710495726 Michele Elizabeth Ishikawa Psychologist 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 2018-01-12

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NPI Name Taxonomy Address Enumeration
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1962023135 Kelee Jade Forst Student in an Organized Health Care Education/Training Program 4001 N Third Street, Suite 290, Phoenix, AZ 85012 2020-04-29
1659911428 Thomas James Blake Social Worker Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 2020-01-09
1598259467 Luis F Fong Registered Nurse 3620 N. 3rd Street, Phoenix, AZ 85012 2018-06-14
1881196335 Phoenix Surgical Solutions Pllc Surgery 6120 W Bell Rd Suite 130, Glendale, AZ 85012 2018-03-01
1679082523 Christopher Ferguson Physician Assistant 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 2017-09-22
1861911323 Viet Quoc Truong Physician Assistant 650 E Indian School Rd # 1, Phoenix, AZ 85012 2017-09-15
1720506389 Erin Lynne Cody Nurse Practitioner 3003 N. 3rd St, Phoenix, AZ 85012 2017-09-05
1346694627 Sharareh Najafi Psychologist 3450 N. 3rd Street, Phoenix, AZ 85012 2016-04-22
1548635824 Rebekah June Daroff Specialist/Technologist 352 N Camelback Rd, Phoenix, AZ 85012 2015-12-11
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467088062 Generational Bridges Neuropsychological Services Pllc Clinical Neuropsychologist 1515 E Missouri Dr, Phoenix, AZ 85014 2020-03-16
1750862264 Focus Neuropsychology Az, Pllc Clinical Neuropsychologist 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 2018-08-22
1386172732 Brett Andersen Clinical Neuropsychologist 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 2017-05-30
1164973467 Neuropsychology Associates, PC Clinical Neuropsychologist 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 2016-10-21
1437524733 Pinnacle Center, Inc. Clinical Neuropsychologist 4423 N 24th St, Phoenix, AZ 85016-5544 2015-12-11
1275969867 Kiran Amin Clinical Neuropsychologist 720 E Peoria Ave, Phoenix, AZ 85020-1575 2013-09-16
1366798050 Irna Lynn Shamos Clinical Neuropsychologist 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 2012-07-31
1295007557 Robin C Ford Clinical Neuropsychologist 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 2012-02-02
1699954800 Barbara M Maxwell, Phd, Plc Clinical Neuropsychologist 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 2007-10-24
1861687360 Mary Lu Bushnell Clinical Neuropsychologist 650 E Indian School Rd # 116b, Phoenix, AZ 85012-1839 2007-09-09
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City PHOENIX
Zip Code 85012

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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