Active NPI
Justin Gardner, PSYD
- Clinical Neuropsychologist
- Gilbert, AZ
National Provider Identifier
1265126999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY-005831
- Practice address
- 2680 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1636 - Phone
- (480) 454-7680
- NPI assigned
- Jun 6, 2023
- Last updated
- Dec 3, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY-005831 | AZ | Primary |
Addresses
Primary practice location
2680 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1636
Mailing address
2680 S Val Vista Dr Ste 146
Gilbert, AZ 85295-1636
Phone (480) 454-7680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005831 | AZ | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beljan Psychological Services, LLC | Clinical Neuropsychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Neuropsychologist
- Scottsdale, AZ
- NPI 1861589921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1265126999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR STE 146",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951636",
"telephone_number": "480-454-7680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2680 S VAL VISTA DR STE 146",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852951636",
"telephone_number": "480-454-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-06",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "AZ",
"license": "PSY-005831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.