Individual provider Active NPI

Yonnas Reggiani, PSYD

  • Clinical Neuropsychologist
  • Glendale, AZ
National Provider Identifier
1992489124
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624
Phone
(844) 385-3747
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-005847 AZ
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

20325 N 51St Ave Ste 168
Glendale, AZ 85308-4624

Mailing address

3104 E Camelback Rd Unit 7963
Phoenix, AZ 85016-4502
Phone (602) 492-8313

Other practice location 1

3104 E Camelback Rd Unit 7963
Phoenix, AZ 85016-4502
Phone (602) 492-8313

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
I20250331000673 AZ Practitioner - Clinical Psychologist 2264955376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Raymond W Lemberg PHD PCGroup PAC ID 3375578917, 26 clinicians

Practice addresses (Care Compare)

20325 N 51St Ave
Suite 168
Glendale, AZ 85308-4624
Phone (844) 385-3747

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY-005847AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Therapy Associates, LLC CurrentSince Mar 1, 2025 Accepting new patients
Raymond W Lemberg PHD PC Psychologist CurrentSince Mar 1, 2025 Accepting new patients
Beljan Psychological Services, LLC Clinical Neuropsychologist PastSince Jun 1, 2023 Accepting new patients

Locations

20325 N 51st Ave
Ste 168
Glendale, AZ 85308
Phone (480) 801-2985

17235 N 75th Ave
Ste F135
Glendale, AZ 85308
Phone (480) 801-2985

2500 S Power Rd
Ste 103
Mesa, AZ 85209
Phone (844) 385-3747

1000 Ainsworth Dr
Prescott, AZ 86305
Phone (928) 776-7885

1000 Ainsworth Dr
Ste C320
Prescott, AZ 86305
Phone (844) 385-3747

2820 N Glassford Hill Rd
Ste 108
Prescott Valley, AZ 86314
Phone (844) 385-3747

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1992489124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E CAMELBACK RD UNIT 7963",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164502",
            "telephone_number": "602-492-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 168",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084624",
            "telephone_number": "844-385-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3104 E Camelback Rd Unit 7963",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850164502",
            "country_code": "US",
            "telephone_number": "602-492-8313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGGIANI",
        "first_name": "YONNAS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005847",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.