Organization Active NPI

Jason R. Newell, PH.D.

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1013447127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3329 Issued in AZ
Legal business name
JASON R. NEWELL, PH.D.
Practice address
11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607
Phone
(602) 478-0576
NPI assigned
Jun 13, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jason Robert Newell, PH.D.NPI 1730617267
Title
Owner
Phone
(602) 478-0576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3329 AZ Primary

Addresses

Primary practice location

11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607

Mailing address

11110 N Tatum Blvd Ste 103
Phoenix, AZ 85028-1607
Phone (602) 478-0576

National Provider Directory

National Provider Directory

Locations

11110 N Tatum Blvd
Ste 103
Phoenix, AZ 85028
Phone (602) 432-0800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013447127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 N TATUM BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281607",
            "telephone_number": "602-478-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 N TATUM BLVD STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281607",
            "telephone_number": "602-478-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON R. NEWELL, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-478-0576",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.