Jeni McCutcheon, PSY.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3464 Issued in AZ

Practice address

4501 N 22ND St Ste 190
Phoenix, AZ 85016-4625

Phone

(602) 368-2526

Fax

(602) 368-2527

NPI assigned

Sep 29, 2006

Sex

Female

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1487746996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7677",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853380645",
            "telephone_number": "602-368-2526",
            "fax_number": "602-368-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 N 22ND ST STE 190",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164625",
            "telephone_number": "602-368-2526",
            "fax_number": "602-368-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHEON",
        "first_name": "JENI",
        "name_prefix": "Dr.",
        "credential": "PSY.D., PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas McCullough, PMHNP
• Lauren C McCune, OTR/L
• Lisa McCune, CCP
• Courtney Lynn McCurdy, OTR/L
• Trisha Andrea McCurdy, PHARM D
• Kasey McCutcheon, OTR
• Matthew McCutcheon, DC
• Isabelle R McDade, SLP-CCC
• Allison Ivy McDaniel, NMD
• Lea McDaniel, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.