Individual provider Active NPI

Lynn Nunemacher, PSY.D.

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1790920882
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-003987 Issued in AZ
Practice address
1705 W Main St
Mesa, AZ 85201-6920
Phone
(480) 964-2273
Fax
(480) 718-9477
NPI assigned
Dec 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-003987 AZ Primary

Addresses

Primary practice location

1705 W Main St
Mesa, AZ 85201-6920

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001

Other practice location 1

2204 S Dobson Rd Ste 102
Mesa, AZ 85202-6457
Phone (602) 230-7373

Other practice location 2

3651 E Baseline Rd
Suite E-204
Gilbert, AZ 85234-2689
Phone (480) 329-5936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090505000400 AZ Practitioner - Clinical Psychologist 0446308233 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3987AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC Current Accepting new patients
Denova Collaborative Health, LLC Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Denova Collaborative Health, LLC CurrentSince Jan 1, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Mar 1, 2017 Accepting new patients
Family Care Center, LLC Clinical CurrentSince Mar 3, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients

Locations

235 W Western Ave
Avondale, AZ 85323
Phone (623) 772-5091

1910 S Stapley Dr
Ste 209
Mesa, AZ 85204
Phone (480) 351-8020

2204 S Dobson Rd
Ste 102
Mesa, AZ 85202

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410

2204 S Dobson Rd
Mesa, AZ 85202
Phone (480) 757-6457

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

610 E Baseline Rd
Ste 5
Phoenix, AZ 85042

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3620 N 3rd St
Phoenix, AZ 85012
Phone (602) 329-8250

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/75620b41-1ac4-4c73-abd7-1415dc6810c3/

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1790920882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "623-583-3001",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W MAIN ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016920",
            "telephone_number": "480-964-2273",
            "fax_number": "480-718-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2204 S Dobson Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852026457",
            "country_code": "US",
            "telephone_number": "602-230-7373",
            "fax_number": "480-629-8577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3651 E Baseline Rd",
            "address_2": "Suite E-204",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852342689",
            "country_code": "US",
            "telephone_number": "480-329-5936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNEMACHER",
        "first_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-003987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.