Individual provider Active NPI

Janeen Alice Demarte, PH.D.

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1245543487
Registry record updated Sep 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4120 Issued in AZ
Practice address
300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475
Phone
(602) 345-1502
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4120 AZ Primary

Addresses

Primary practice location

300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475

Mailing address

300 W Clarendon Ave Ste 470
Phoenix, AZ 85013-3475
Phone (602) 345-1502

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101108000026 AZ Practitioner - Clinical Psychologist 9638364482 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4120AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentience Psycological Services PLLC Psychologist CurrentSince Aug 4, 2012 Accepting new patients
Sentience, PLLC PastSince Nov 4, 2012 Accepting new patients

Locations

300 W Clarendon Ave
Ste 470
Phoenix, AZ 85013
Phone (602) 354-8906

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379635200000",
    "number": "1245543487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 470",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133475",
            "telephone_number": "602-345-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 470",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133475",
            "telephone_number": "602-345-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMARTE",
        "first_name": "JANEEN",
        "middle_name": "ALICE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2013-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.