DR. JACQUELYNN NICOSIA COPELAND


Address: 901 E Willetta St, Phoenix, AZ 85006-2727
Phone: 6028396900

DR. JACQUELYNN NICOSIA COPELAND (NPI# 1215322847) 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) 1215322847
Entity Type Individual
Full Name DR. JACQUELYNN NICOSIA COPELAND
Credential PH.D.
Practice Address 901 E Willetta St
Phoenix
AZ 85006-2727
Practice Telephone 6028396900
Enumeration Date 2015-03-31
Last Update Date 2015-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 4594 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 901 E WILLETTA ST
City PHOENIX
State AZ
Zip Code 85006-2727

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609868272 Geri R Hall Clinical Nurse Specialist 901 E Willetta St, Phoenix, AZ 85003 2005-08-18
1841702743 Michelle James Clinical Neuropsychologist 901 E Willetta St, Phoenix, AZ 85006-2727 2017-10-31
1730624701 Alisson Gilbert Nurse Practitioner 901 E Willetta St, Phoenix, AZ 85006-2727 2016-12-30
1558813469 Edwina Carrion-loucks Social Worker 901 E Willetta St, Phoenix, AZ 85006-2727 2016-10-26
1265749824 Susan C Favaro Social Worker 901 E Willetta St, Phoenix, AZ 85006-2727 2010-09-02
1952532475 Po-heng Tsai Psychiatry & Neurology 901 E Willetta St, Phoenix, AZ 85006 2009-07-31
1558575035 James Seward Clinical Neuropsychologist 901 E Willetta St, Phoenix, AZ 85006-2727 2007-05-10
1992929624 Allison Leigh Perrin Internal Medicine 901 E Willetta St, Phoenix, AZ 85006-2727 2007-04-12
1780625210 Michael John Lang Pediatrics 901 E Willetta St, Ste 2503, Phoenix, AZ 85006-2727 2006-06-08
1225075005 Peter John Stevenson Pediatrics 901 E Willetta St, Room 3503, Phoenix, AZ 85006-2727 2006-06-01
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NPI Name Taxonomy Address Enumeration
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1558985036 Amanda Stanford Nurse Practitioner 925 E Mc Dowell Rd, Phoenix, AZ 85006 2020-06-01
1023638582 Supraja Prakash Genetic Counselor, MS 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 2020-04-24
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1265093108 Zulianna Ibrahim Student in an Organized Health Care Education/Training Program Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 2019-06-21
1306318340 Leah Margaret Hillier Family Medicine 1300 N 12th St - Suite 500, Phoenix, AZ 85006 2018-12-31
1477032357 Joann Moskop Chiropractor 2719 N Greenfield Rd., Phoenix, AZ 85006 2018-08-10
1619464468 Ana Maria Lara Naturopath 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 2018-04-17
1194221770 Nisha Bharat Patel Student in an Organized Health Care Education/Training Program Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 2018-04-03
1710486352 Julia Cyr Registered Nurse 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 2018-02-09
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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
1164864161 Surabhi Yeshwant Patwardhan Clinical Neuropsychologist 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 2013-07-19
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
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Competitor

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City PHOENIX
Zip Code 85006

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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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