Healthcare Provider Details

I. General information

NPI: 1346775459
Provider Name (Legal Business Name): RAMAN K. SAINI PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2017
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18275 N 59TH AVE STE F132
GLENDALE AZ
85308-1260
US

IV. Provider business mailing address

18275 N 59TH AVE STE F132
GLENDALE AZ
85308-1260
US

V. Phone/Fax

Practice location:
  • Phone: 602-848-2872
  • Fax: 602-848-2879
Mailing address:
  • Phone: 602-848-2872
  • Fax: 602-848-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4831
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number4831
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number4831
License Number StateAZ
# 4
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number4831
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number4831
License Number StateAZ
# 6
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number4831
License Number StateAZ
# 7
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number4831
License Number StateAZ
# 8
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4831
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: