Dr. Surabhi Yeshwant Patwardhan
Clinical Neuropsychologist

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 Identifier (NPI) 1164864161
Entity Type Individual
Full Name Dr. Surabhi Yeshwant Patwardhan
Credential PH.D.
Gender Female
Practice Address 3550 N Central Ave Ste 1407
Phoenix
AZ 85012-2112
Practice Telephone 6022166900
Practice Fax Number 6023719889
Mailing Address 3115 S Price Rd
Chandler
AZ 85248-3544
Mailing Telephone 4808554011
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2013-07-19
Last Update Date 2019-11-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers 4454 AZ
No 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers

Secondary Practice Locations

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

Physician Overview

NPI 1164864161
PAC ID by PECOS 4486871894
Professional Enrollment ID I20140808000215
Full Name Surabhi Y Patwardhan
Organization Legal Name DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS PLLC
Phone Number 6022166900
Gender F
Graduation Year 2012
Primary Specialty PSYCHOLOGIST, CLINICAL
Group Practice PAC ID 5395986731
Number of Group Practice Members 4
Accepts Medicare Assignment Y

Taxonomy Information

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

Taxonomy Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Notes: Source: American Psychological Association, www.apa.org [1/1/2007: title modified, 1/1/2019: defintion 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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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

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881205417 Diligence Physical Therapy and Wellness, Pllc Physical Therapist 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 2020-08-17
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
Find all providers in zip 85012

Competitor

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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.