DR. IRNA LYNN SHAMOS (NPI# 1366798050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366798050 |
Entity Type | Individual |
Full Name | DR. IRNA LYNN SHAMOS |
Other Name | DR. IRNA LYNN WOLF |
Credential | PH.D. ABPP |
Practice Address |
4516 East Onyx Avenue Arizona Psychological Diagnostics, Plc Phoenix AZ 85028 |
Practice Telephone | 4806649122 |
Practice Fax Number | 4809512355 |
Mailing Telephone | 4806649122 |
Mailing Fax Number | 4809512355 |
Enumeration Date | 2012-07-31 |
Last Update Date | 2012-07-31 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 2082 | AZ | Behavioral Health & Social Service Providers |
Street Address |
4516 EAST ONYX AVENUE ARIZONA PSYCHOLOGICAL DIAGNOSTICS, PLC |
City | PHOENIX |
State | AZ |
Zip Code | 85028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235626565 | Celice Korsten | Psychologist | 11020 N. Tatum Blvd., Ste. 100, Phoenix, AZ 85028 | 2018-04-23 |
1720591605 | Michele Kaplan | Counselor | 11640 N Tatum Blvd #3096, Phoenix, AZ 85028 | 2017-11-14 |
1154840304 | Faustino M. Gonzalez, Md PC | Anesthesiology | 11811 N. Tatum Blvd, Suite 3031, Phoenix, AZ 85028 | 2017-09-19 |
1679092514 | Savior Palliative Care LLC | Family Medicine | 4530 E Shea Blvd Ste 175, Phoenix, AZ 85028 | 2017-09-12 |
1437688892 | Harmony Behavioral Health | Behavioral Analyst | 3008 E Sierra St, Phoenix, AZ 85028 | 2017-06-08 |
1275949224 | Alexander D Garza | Podiatrist | 3101 E Shea Blvd Ste 220, Phoenix, AZ 85028 | 2014-07-09 |
1720418379 | Alyssa Hale | Occupational Therapy Assistant | 4600 East Shea Boulevard, Suite 101, Phoenix, AZ 85028 | 2013-11-19 |
1932534476 | Stephen Howard Garber | Otolaryngology | 9607 N. 43rd Way, Phoenix, AZ 85028 | 2013-09-03 |
1285930925 | Cathy Ann Payne | Nurse Practitioner | 11209 N Tatum Blvd Ste 260, Phoenix, AZ 85028 | 2011-01-27 |
1427368430 | Jay Griffin | Nurse Practitioner | 11811 N Tatum Blvd Ste P199, Phoenix, AZ 85028 | 2010-10-12 |
Find all providers in zip 85028 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
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] |
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 |
1164864161 | Surabhi Yeshwant Patwardhan | Clinical Neuropsychologist | 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 | 2013-07-19 |
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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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.