Organization Active NPI

Garden Psychology PLLC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1336011071
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GARDEN PSYCHOLOGY PLLC
Practice address
7740 N 16TH St Ste 300
Phoenix, AZ 85020-4473
Phone
(802) 274-5291
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Authorized official

Name
Jack GardenNPI 1194860304
Title
PSYD
Phone
(802) 274-5291

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 Primary

Addresses

Primary practice location

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

Mailing address

7740 N 16TH St Ste 300
Phoenix, AZ 85020-4473
Phone (802) 274-5291

National Provider Directory

National Provider Directory

Locations

7740 N 16th St
Ste 300
Phoenix, AZ 85020
Phone (802) 274-5291

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1336011071",
    "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": {
        "organization_name": "GARDEN PSYCHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "GARDEN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PSYD",
        "authorized_official_telephone_number": "802-274-5291"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "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 Sep 22, 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.

Verify at the official NPI Registry.