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DR. JON JAY VANDOREN PH. D.
NPI 1114072220
Clinical Neuropsychologist in Phoenix, AZ

Active since January 25, 2007Opted out of Medicare · through Oct 1, 2026
7330 N 16TH ST STE A120, PHOENIX, AZ 85020(480) 699-6968(480) 666-4803 Get Directions Write a Review

NPPES record last updated: August 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jon Jay Vandoren Ph. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JON JAY VANDOREN PH. D. (NPI 1114072220) is an individual clinical neuropsychologist in Phoenix, Arizona, licensed in Arizona (2081) and active in the NPI registry since January 2007. He has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1114072220
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. JON JAY VANDORENCredential: PH. D.
Location Address7330 N 16TH ST STE A120Phoenix, AZ 85020-8201
Mailing AddressPo Box 13361Scottsdale, AZ 85267-3361 · (480) 699-6968 · Fax (480) 666-4803
Phone(480) 699-6968
Fax(480) 666-4803
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateAugust 30, 2025
NPPES CertifiedAugust 30, 2025
✔ NPI 1114072220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in AZ · 2081
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X · License 2081 (AZ)
Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 2081 (AZ)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 2081 (AZ)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2081 (AZ)
Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 2081 (AZ)
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 2081 (AZ)
7330 N 16TH ST STE A120, Phoenix, AZ 85020
Open in Google Maps ↗

Other Identifiers 1

OtherZ60229AZ · Medicare Group Pin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jon Jay Vandoren Ph. D. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
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.
155 services29 patients
Evaluation of neuropsychological test, each additional hour 96133
This 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.
81 services29 patients
Exam of neurobehavioral status, each additional hour 96121
This 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.
40 services29 patients
Exam of neurobehavioral status, first hour 96116
An 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.
29 services29 patients
Evaluation of neuropsychological test, first hour 96132
An 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.
29 services29 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This 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.
29 services29 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JON VAN DOREN, PH.D., PLLC
Clinical Neuropsychologist
7330 N 16TH ST STE A120
PHOENIX, AZ 85020
Maricopa County (480) 699-6968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Vandoren's NPI number?

The NPI number for Jon Vandoren is 1114072220. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Jon Vandoren located?

Jon Vandoren practices at 7330 N 16th St Ste A120, Phoenix, AZ 85020. The listed phone number is (480) 699-6968.

What is Jon Vandoren's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Jon Vandoren enrolled in Medicare?

No. Jon Vandoren has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jon Vandoren was last updated on August 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.