Organization Active NPI

Jon Van Doren, PH.D., PLLC

Doing business as Van Doren Neuropsychology

  • Clinical Neuropsychologist
  • Phoenix, AZ
National Provider Identifier
1124211826
Registry record updated Aug 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
2081 Issued in AZ
Legal business name
JON VAN DOREN, PH.D., PLLC
Doing business as
Van Doren Neuropsychology
Practice address
7330 N 16TH St Ste A120
Phoenix, AZ 85020-8201
Phone
(480) 699-6968
Fax
(480) 666-4803
NPI assigned
Aug 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2025

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

Authorized official

Name
Dr. Jon Jay Vandoren, PH.D.
Title
Sole Proprietor, Neuropsychologist
Phone
(480) 699-6968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X 2081 AZ Primary

Addresses

Primary practice location

7330 N 16TH St Ste A120
Phoenix, AZ 85020-8201

Mailing address

PO Box 13361
Scottsdale, AZ 85267-3361
Phone (480) 699-6968

Other identifiers 1

IdentifierTypeStateIssuer
1114072220OtherNPI

Other names 1

  • Van Doren Neuropsychology Doing business as

National Provider Directory

National Provider Directory

Locations

7330 N 16th St
Ste A120
Phoenix, AZ 85020
Phone (480) 699-6968

NPI Registry JSON

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

{
    "created_epoch": "1188086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756512000000",
    "number": "1124211826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13361",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852673361",
            "telephone_number": "480-699-6968",
            "fax_number": "480-666-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST STE A120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850208201",
            "telephone_number": "480-699-6968",
            "fax_number": "480-666-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON VAN DOREN, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-26",
        "last_updated": "2025-08-30",
        "certification_date": "2025-08-30",
        "status": "A",
        "authorized_official_last_name": "VANDOREN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR, NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "480-699-6968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114072220",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Doren Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 30, 2025; 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.