NPIMap

Organization Active NPI

Vijay K. Jain, Psy.D. Inc

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1295907426
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3009 Issued in AZ
Legal business name
VIJAY K. JAIN, PSY.D. INC
Practice address
4232 E Cactus Rd
Suite 207
Phoenix, AZ 85032-7602
Phone
(602) 494-8105
Fax
(602) 494-8108
NPI assigned
Mar 27, 2008
Last updated
Mar 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Vijay K Jain, PSY.D.NPI 1285629840
Title
President
Phone
(602) 494-8105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 3009 AZ Primary

Addresses

Primary practice location

4232 E Cactus Rd
Suite 207
Phoenix, AZ 85032-7602

Mailing address

4232 E Cactus Rd
Suite 207
Phoenix, AZ 85032-7602
Phone (602) 494-8105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1295907426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 E CACTUS RD",
            "address_2": "SUITE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327602",
            "telephone_number": "602-494-8105",
            "fax_number": "602-494-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 E CACTUS RD",
            "address_2": "SUITE 207",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327602",
            "telephone_number": "602-494-8105",
            "fax_number": "602-494-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAY K. JAIN, PSY.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-494-8105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 27, 2008; 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.