Active NPI
Jon Van Doren, PH.D., PLLC
Doing business as Van Doren Neuropsychology
- Clinical Neuropsychologist
- Phoenix, AZ
National Provider Identifier
1124211826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 2081
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114072220 | Other | NPI |
Other names 1
- Van Doren Neuropsychology
National Provider Directory
National Provider DirectoryLocations
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.