PHOENIX HEALTH PSYCHOLOGY, PLLC
NPI 1114439718
Psychologist in Phoenix, AZ

NPI Status: Active since November 04, 2017

Contact Information

1130 E MISSOURI AVE
PHOENIX, AZ
ZIP 85014
Phone: (602) 461-7493

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  • Organization
  • Psychologist
  • CLIA Number: 03D2287538
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-11-2026

About PHOENIX HEALTH PSYCHOLOGY, PLLC

This page provides the complete NPI Profile along with additional information for Phoenix Health Psychology, Pllc, a provider established in Phoenix, Arizona operating as a Psychologist. The healthcare provider is registered in the NPI registry with number 1114439718 assigned on November 2017. The practitioner's primary taxonomy code is 103T00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jennifer Averyt Ph.d. (Clinical Health Psychologist)

NPI
1114439718
Provider Name
PHOENIX HEALTH PSYCHOLOGY, PLLC
Entity Type
Organization
Location Address
1130 E MISSOURI AVE PHOENIX, AZ 85014
Location Phone
(602) 461-7493
Mailing Address
1130 E MISSOURI AVE PHOENIX, AZ 85014
Mailing Phone
(602) 461-7493
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-04-2017
Last Update Date
11-04-2017
Code Navigator

A psychologist like Phoenix Health Psychology, Pllc studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER AVERYT PH.D.

Authorized Official Title
CLINICAL HEALTH PSYCHOLOGIST
Authorized Official Phone
(602) 461-7493

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
03D2287538
Facility Type
Physician Office
Certificate Effective Date
March 12, 2024
Certificate Expiration Date
March 11, 2026
Laboratory Director
CAROLINE B. NYAKWEBA
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Phoenix Health Psychology, Pllc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1114439718, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
8
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 1 → 2 4 → 8 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 8 + 3 + 1 + 8 + 7 + 2 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1114439718.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1130 E MISSOURI AVE, SUITE 500
PHOENIX, AZ 85014
Counselor (Mental Health)
1130 E MISSOURI AVE, 500
PHOENIX, AZ 85014
Counselor (Professional)
1130 E MISSOURI AVE
PHOENIX, AZ 85014
Counselor (Mental Health)
1130 E MISSOURI AVE, SUITE 530
PHOENIX, AZ 85014
Chiropractor
1130 E MISSOURI AVE, STE. 402
PHOENIX, AZ 85014
Chiropractor
1130 E MISSOURI AVE, STE 402
PHOENIX, AZ 85014
Psychiatry & Neurology (Psychiatry)
1130 E MISSOURI AVE, SUITE 206
PHOENIX, AZ 85014
Social Worker (Clinical)
1130 E MISSOURI AVE, SUITE 550
PHOENIX, AZ 85014
Ophthalmology
1130 E MISSOURI AVE, STE 100
PHOENIX, AZ 85014
Ophthalmology
1130 E MISSOURI AVE, STE 100
PHOENIX, AZ 85014
Counselor (Mental Health)
1130 E MISSOURI AVE, SUITE 780
PHOENIX, AZ 85014
Counselor (Professional)
1130 E MISSOURI AVE, SUITE 780
PHOENIX, AZ 85014
Counselor (Professional)
1130 E MISSOURI AVE, SUITE 780
PHOENIX, AZ 85014
Social Worker
1130 E MISSOURI AVE, STE 830
PHOENIX, AZ 85014
Nursing Care
1130 E MISSOURI AVE, SUITE 404
PHOENIX, AZ 85014
Home Health
1130 E MISSOURI AVE, #404
PHOENIX, AZ 85014
Chiropractor
1130 E MISSOURI AVE, STE 180
PHOENIX, AZ 85014
Dietitian, Registered
1130 E MISSOURI AVE
PHOENIX, AZ 85014
Nurse Practitioner (Family)
1130 E MISSOURI AVE
PHOENIX, AZ 85014
Naturopath
1130 E MISSOURI AVE, STE 850
PHOENIX, AZ 85014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114439718, enumerated as an "organization" on November 04, 2017.

The provider is located at 1130 E MISSOURI AVE PHOENIX, AZ 85014 and the phone number is (602) 461-7493.

Psychologist with taxonomy code 103T00000X.