Jacqueline Ann Worsley, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3727 Issued in AZ

Practice address

5125 N 16TH St
Suite A102
Phoenix, AZ 85016-3907

Phone

(602) 748-7692

NPI assigned

Aug 11, 2007

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Lifespan Behavioral Health, LLC

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1033229281
  NPD (past)

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1669664884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 N 16TH ST",
            "address_2": "SUITE A102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163907",
            "telephone_number": "602-748-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 N 16TH ST",
            "address_2": "SUITE A102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163907",
            "telephone_number": "602-748-7692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORSLEY",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nina J Works
• World of Wealth Wellness LLC
• Worldwide Surgical Solutions
• Shakela Worley
• Kyla Worrell
• Alycia Helena Worst, LCSW
• Stacie Jane Worswick, CNM
• Sarah Wortendyke, PAC
• Terren Courtney Wortham, DNP, CRNA
• Delwyn J Worthington, M.D.

• 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 Aug 11, 2007; 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.