Individual provider Active NPI

Caleb Barcenas, PHD

  • Psychologist
  • Chandler, AZ
National Provider Identifier
1972986750
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-005802 Issued in AZ
Practice address
6909 W Ray Rd Ste 15-119
Chandler, AZ 85226-1699
Phone
(480) 613-9911
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-005802 AZ Primary
Clinical Neuropsychologist 103G00000X PSY-005802 AZ

Addresses

Primary practice location

6909 W Ray Rd Ste 15-119
Chandler, AZ 85226-1699

Mailing address

6909 W Ray Rd Ste 15-119
Chandler, AZ 85226-1699
Phone (480) 613-9911

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
I20240917004446 AZ Practitioner - Clinical Psychologist 3577004548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Loma Linda University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

240 W Thomas Rd
Suite 301
Phoenix, AZ 85013-4407

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-005802AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sjhmc Physician Services CurrentSince Sep 16, 2024 Accepting new patients
St. Joseph'S Outpatient Surgery Center, LLC Current Accepting new patients
St. Joseph'S Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Christian Community Placement Center Past Accepting new patients
Psychological Services Az Professional LLC Clinical Neuropsychologist Past Accepting new patients
Christian Community Placement Center Past Accepting new patients

Locations

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

222 W Thomas Rd
Ste 401
Phoenix, AZ 85013
Phone (602) 406-2366

240 W Thomas Rd
#301
Phoenix, AZ 85013
Phone (602) 406-6262

File 56765
Los Angeles, CA 90074

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1972986750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 15-119",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261699",
            "telephone_number": "480-613-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 W RAY RD STE 15-119",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852261699",
            "telephone_number": "480-613-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCENAS",
        "first_name": "CALEB",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "PSY-005802",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "PSY-005802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.