Jennifer J. Bortz PH.D., PLLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

JENNIFER J. BORTZ PH.D., PLLC

Doing business as

Arizona Integrative Neuropsychology

Practice address

2929 E Camelback Rd Ste 114
Phoenix, AZ 85016-4425

Phone

(480) 795-4787

Fax

(480) 795-7778

NPI assigned

Nov 10, 2019

Organization subpart

No

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

Authorized official

Name

Shannon Peyton

Title

Office Manager

Phone

(800) 717-4215

Specialties & licenses 1

Addresses

Other names 1

• Arizona Integrative Neuropsychology Doing business as

Locations

Practitioners 1

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

• Jennifer J Bortz, PHD

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1306823810
  NPD

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575158400000",
    "number": "1487299780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34522 N SCOTTSDALE RD STE 120-227",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852661224",
            "telephone_number": "480-795-4787",
            "fax_number": "480-795-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 E CAMELBACK RD STE 114",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164425",
            "telephone_number": "480-795-4787",
            "fax_number": "480-795-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER J. BORTZ PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-12-01",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "800-717-4215"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Integrative Neuropsychology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Logan Jenkins
• Xavier Lewis Jenkins, COUNSELOR
• Russell Walker Jenna Jr., M.D.
• Zachary Brad Jenner
• Jennifer C Cannon, DO, PLLC
• Alicia Renee Jennings, CSA
• Heidi Jennings, FNP
• Kenyatta Jennings
• Lashonda Jennings
• Linda S Jennings, CRNFA

• Clinical Neuropsychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Neuropsychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.