Individual provider Active NPI

Jenine Hain, PSYD

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1790471639
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-005965 Issued in AZ
Practice address
5930 E Pima St Ste 138
Tucson, AZ 85712-4351
Phone
(520) 441-4006
NPI assigned
Apr 13, 2023
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Psychologist 103TC0700X PSY-005965 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

5930 E Pima St Ste 138
Tucson, AZ 85712-4351

Mailing address

60 W Stone Loop Apt 2514
Tucson, AZ 85704-5146
Phone (606) 571-0554

Other practice location 1

2463 E Gala St Ste 100
Meridian, ID 83642-5210
Phone (208) 955-7333

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Neurobehavioral Health, LLC Clinical CurrentSince Apr 1, 2023 Accepting new patients
A-Z Neuropsychology, LLC Clinical CurrentSince May 25, 2025 Accepting new patients
Northwest Neurobehavioral Health PLLC Clinical PastSince Apr 1, 2023 Accepting new patients

Locations

5930 E Pima St
Ste 138
Tucson, AZ 85712
Phone (520) 207-8988

2463 E Gala St
Ste 100
Meridian, ID 83642
Phone (208) 955-7333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1790471639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 W STONE LOOP APT 2514",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045146",
            "telephone_number": "606-571-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 E PIMA ST STE 138",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124351",
            "telephone_number": "520-441-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2463 E Gala St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836425210",
            "country_code": "US",
            "telephone_number": "208-955-7333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIN",
        "first_name": "JENINE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005965",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.