Individual provider Active NPI

Jessi Andrino, PSY.D

  • Clinical Psychologist
  • Apache Junction, AZ
National Provider Identifier
1346154564
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-006147 Issued in AZ
Practice address
2635 S Flat Iron Rd
Apache Junction, AZ 85119-6790
Phone
(307) 679-6761
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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 PSY-006147 AZ Primary

Addresses

Primary practice location

2635 S Flat Iron Rd
Apache Junction, AZ 85119-6790

Mailing address

2635 S Flat Iron Rd
Apache Junction, AZ 85119-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1346154564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 S FLAT IRON RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 S FLAT IRON RD",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851196790",
            "telephone_number": "307-679-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRINO",
        "first_name": "JESSI",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.