Phoenix Health Psychology, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PHOENIX HEALTH PSYCHOLOGY, PLLC

Practice address

1130 E Missouri Ave
Phoenix, AZ 85014-2718

Phone

(602) 461-7493

NPI assigned

Nov 4, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Averyt, PH.D.

Title

Clinical Health Psychologist

Phone

(602) 461-7493

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509753600000",
    "number": "1114439718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-461-7493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142718",
            "telephone_number": "602-461-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTH PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-04",
        "last_updated": "2017-11-04",
        "status": "A",
        "authorized_official_last_name": "AVERYT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL HEALTH PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-461-7493",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2017; 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.