Dr Jon Jay Vandoren, PH D is a
Clinical Neuropsychologist based in Phoenix, Arizona. Dr Jon Jay Vandoren is licensed to practice in Arizona (license number 2081) and his current practice location is
7330 N 16th St Ste A120, Phoenix, Arizona. He can be reached at his office (for appointments etc.) via phone at
(480) 699-6968.
NPI number for Dr Jon Jay Vandoren is 1114072220 and his current mailing address is Po Box 13361, Scottsdale, Arizona. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114072220.
Healthcare Provider's Profile
| Full Name | Dr Jon Jay Vandoren |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 7330 N 16th St Ste A120, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1114072220
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 08/30/2025
Medical Identifiers
Medical identifiers for Dr Jon Jay Vandoren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114072220 | NPI | - | NPPES |
| Z60229 | Other | AZ | MEDICARE GROUP PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 2081 (Arizona) | Secondary |
| 103T00000X | Psychologist | 2081 (Arizona) | Secondary |
| 103TA0700X | Psychologist - Adult Development & Aging | 2081 (Arizona) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 2081 (Arizona) | Secondary |
| 103TF0200X | Psychologist - Forensic | 2081 (Arizona) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 2081 (Arizona) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 2081 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jon Jay Vandoren is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jon Jay Vandoren, PH D
Po Box 13361,
Scottsdale, AZ 85267-3361
Ph: (480) 699-6968 | Dr Jon Jay Vandoren, PH D
7330 N 16th St Ste A120,
Phoenix, AZ 85020-8201
Ph: (480) 699-6968 |
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