Jessica Julia Powell, PSY. D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4302 Issued in AZ

Practice address

10515 W Santa Fe Dr
Sun City, AZ 85351-3020

Phone

(623) 832-6530

NPI assigned

Sep 24, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Julia Gurczynski Former name

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sonoran Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1932701307
  Medicare reassignment NPD Authorized official
• Mountainview Clinical Psychology, PLLC

  • Clinical Neuropsychologist
  • Scottsdale, AZ
  • NPI 1477066561
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1326474180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "623-832-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10515 W SANTA FE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513020",
            "telephone_number": "623-832-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JESSICA",
        "middle_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GURCZYNSKI",
            "middle_name": "JULIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dedrie M Polakof, DPM
• Aleksey Polyakov, D.C.
• Apichan Pootrakul, MD
• Virginia Pop, CPHT CERTIFIED PHARM
• Ron L Porter, OT
• Jessica B Powers
• Pravin T. Patel, M.D., P.C.
• Michael J Prebil, P.A
• Katelyn Predmore, FNP-C
• Prestige Medical Care Professional Corporation (Prestige Medical Care)

• Clinical Neuropsychologist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.