NPIMap

Organization Active NPI

North Valley Pediatric Therapy, LLC

Doing business as Odyssey Autism ABA Therapy

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1366899171
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NORTH VALLEY PEDIATRIC THERAPY, LLC
Doing business as
Odyssey Autism ABA Therapy
Practice address
1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725
Phone
(602) 808-9912
Fax
(602) 875-0385
NPI assigned
May 22, 2016
Last updated
Jun 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Authorized official

Name
Jaxson Myers
Title
Ceo
Phone
(602) 609-3777

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725

Mailing address

1831 W Rose Garden LN Ste 4
Phoenix, AZ 85027-2725
Phone (602) 808-9912

Other names 1

  • Odyssey Autism ABA Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1831 W Rose Garden Ln
Ste 4
Phoenix, AZ 85027
Phone (602) 808-9912

Practitioners & affiliated clinicians

Practitioners 131

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 131

NPI Registry JSON

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

{
    "created_epoch": "1463875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1366899171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "602-808-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725",
            "telephone_number": "602-808-9912",
            "fax_number": "602-875-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-22",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JAXSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-609-3777"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey Autism ABA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 5, 2026; 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.