Jack Garden, HSPP

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PSY-004725 Issued in AZ

Practice address

7740 N 16TH St Ste 300
Phoenix, AZ 85020-4473

Phone

(802) 274-5291

NPI assigned

Feb 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Empower Psychological Services, PLLC

  • Psychologist
  • Phoenix, AZ
  • NPI 1659952778
  Medicare reassignment NPD
• Garden Psychology PLLC

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1336011071
  NPD Authorized official
• Alpine Clinic, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lafayette, IN
  • NPI 1548274202
  NPD (past)
• Alpine Physicians, LLC

  • Psychiatry Physician
  • Lafayette, IN
  • NPI 1225554801
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1194860304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7740 N 16TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204473",
            "telephone_number": "802-274-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 N 16TH ST STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204473",
            "telephone_number": "802-274-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDEN",
        "first_name": "JACK",
        "credential": "HSPP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "PSY-004725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelyn Gard
• William Matthew Gardella, M.D.
• Garden House, Inc.
• Garden Lakes Chiropractic, LLC
• Garden Psychology PLLC
• Brooke Gardenhire
• Fred Gardezy, DO
• Walter Thomas Gardipee, PHARMD, JD, MBA
• Brandon Scott Gardner, D.O.
• Cole Harrison Gardner, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.