Jack Deeming

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY-005901 Issued in AZ

Practice address

7600 N 15TH St Ste 100
Phoenix, AZ 85020-4330

Phone

(602) 224-2277

NPI assigned

Jul 25, 2025

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Mental Health Center of America, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1235700303
  NPD

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1366324642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28425 N BLACK CANYON HWY UNIT 2062",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 N 15TH ST STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204330",
            "telephone_number": "602-224-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEMING",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedicated Therapy Services LLC
• Brian Dedinsky, M.D.
• Marcus Dee, DO
• Sandra Jean Deegan, M.D.
• Patricia Lott Deeke, M.S.P.T.
• Deenice LLC
• Deep Breath Counseling, PLLC
• Deep Dream Anesthesia LLC
• Deer Valley Anesthesia, PLLC
• Deer Valley Counseling

• Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.