Organization Active NPI

Juniper Path Psychology

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1811708191
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JUNIPER PATH PSYCHOLOGY
Practice address
7975 N Hayden Rd Ste D241
Scottsdale, AZ 85258-3278
Phone
(602) 492-2995
Fax
(623) 288-8017
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dr. Shannon Leah Hendrickson, PSYDNPI 1629510169
Title
Psychologist
Phone
(602) 492-2995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

7975 N Hayden Rd Ste D241
Scottsdale, AZ 85258-3278

Mailing address

15411 W Waddell Rd Ste 102
Surprise, AZ 85379-5170
Phone (602) 492-2995

Other practice location 1

4824 E Baseline Rd Ste 124
Mesa, AZ 85206-4679
Phone (602) 492-2995

Other practice location 2

13349 W Calavar Cir
Surprise, AZ 85379-6455
Phone (602) 492-2995

National Provider Directory

National Provider Directory

Locations

4824 E Baseline Rd
Ste 124
Mesa, AZ 85206
Phone (602) 351-5108

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1811708191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD STE 102",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795170",
            "telephone_number": "602-492-2995",
            "fax_number": "623-288-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD STE D241",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583278",
            "telephone_number": "602-492-2995",
            "fax_number": "623-288-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4824 E Baseline Rd Ste 124",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852064679",
            "country_code": "US",
            "telephone_number": "602-492-2995",
            "fax_number": "623-288-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13349 W Calavar Cir",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853796455",
            "country_code": "US",
            "telephone_number": "602-492-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JUNIPER PATH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-492-2995",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.