Active NPI
Sonya Kyrsten Bettendorf, PHD
- Counseling Psychologist
- Scottsdale, AZ
National Provider Identifier
1366811341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 4436
- Practice address
- 9590 E Ironwood Square Dr Ste 220
Scottsdale, AZ 85258-4581 - Phone
- (480) 828-0766
- NPI assigned
- Sep 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4436 | AZ | Primary |
Addresses
Primary practice location
9590 E Ironwood Square Dr Ste 220
Scottsdale, AZ 85258-4581
Mailing address
9590 E Ironwood Square Dr Ste 220
Scottsdale, AZ 85258-4581
Phone (480) 828-0766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4436 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743120000000",
"number": "1366811341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR STE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584581",
"telephone_number": "480-828-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9590 E IRONWOOD SQUARE DR STE 220",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584581",
"telephone_number": "480-828-0766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTENDORF",
"first_name": "SONYA",
"middle_name": "KYRSTEN",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "4436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.