DR. JON JAY VANDOREN PH. D.
NPI 1114072220
Clinical Neuropsychologist in Phoenix, AZ
NPI Status: Active since January 25, 2007
Contact Information
7330 N 16TH ST STE A120
PHOENIX, AZ
ZIP 85020
Phone: (480) 699-6968
Fax: (480) 666-4803
- Individual
- Male
- Clinical Neuropsychologist
- Opted-Out Medicare
About JON VANDOREN
This page provides the complete NPI Profile along with additional information for Jon Vandoren, a provider established in Phoenix, Arizona with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1114072220 assigned on January 2007. The practitioner's primary taxonomy code is 103G00000X with license number 2081 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1114072220
- Provider Name
- DR. JON JAY VANDOREN PH. D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7330 N 16TH ST STE A120 PHOENIX, AZ 85020
- Location Phone
- (480) 699-6968
- Location Fax
- (480) 666-4803
- Mailing Address
- PO BOX 13361 SCOTTSDALE, AZ 85267
- Mailing Phone
- (480) 699-6968
- Mailing Fax
- (480) 666-4803
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-25-2007
- Last Update Date
- 08-30-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Jon Vandoren opted out of Medicare effective on 10-01-2024 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 2081
- License State
- AZ
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
| 2 | 103TA0700X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
| 3 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
| 4 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
| 5 | 103TF0200X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
| 6 | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | 2081 (AZ) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| Z60229 | OTHER (01) | AZ | MEDICARE GROUP PIN |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2024
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of psychological or neuropsychological test by technician, each additional 30 minutes
Administration of psychological or neuropsychological test by technician, first 30 minutes
Evaluation of neuropsychological test, each additional hour
Evaluation of neuropsychological test, first hour
Exam of neurobehavioral status, each additional hour
Exam of neurobehavioral status, first hour
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
This service was performed 462 times for 85 patientsThis procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
This service was performed 85 times for 85 patientsThis service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
This service was performed 207 times for 85 patientsAn evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
This service was performed 85 times for 85 patientsThis procedure involves a thorough evaluation of your neurobehavioral status, focusing on brain functions that affect behavior and cognition. It's extended for an additional hour to gather more detailed information about your neurological health.
This service was performed 112 times for 84 patientsAn exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
This service was performed 86 times for 86 patientsReviews for DR. JON JAY VANDOREN PH. D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1114072220, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114072220, enumerated as an "individual" on January 25, 2007.
The provider is located at 7330 N 16TH ST STE A120 PHOENIX, AZ 85020 and the phone number is (480) 699-6968.
Clinical Neuropsychologist with taxonomy code 103G00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
