JACK GARDEN HSPP
NPI 1194860304
Psychologist - Health Service in Phoenix, AZ

Q: What is Jack Garden's NPI number?

The NPI number for Jack Garden is 1194860304. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Q: What is Jack Garden's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Jack Garden was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment

7740 N 16TH ST STE 300, PHOENIX, AZ 85020(802) 274-5291 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack Garden Hspp NPPES

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

JACK GARDEN HSPP (NPI 1194860304) is an individual health service provider in Phoenix, Arizona, licensed in Arizona (PSY-004725) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1194860304

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameJACK GARDENCredential: HSPP

Location Address7740 N 16TH ST STE 300Phoenix, AZ 85020-4473

Mailing Address7740 N 16th St Ste 300Phoenix, AZ 85020-4473 · (802) 274-5291

Phone(802) 274-5291

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateFebruary 21, 2007

Last NPPES UpdateSeptember 24, 2025

NPPES CertifiedSeptember 24, 2025

✔ NPI 1194860304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in AZ · PSY-004725

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

7740 N 16TH ST STE 300, Phoenix, AZ 85020

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Garden Hspp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638165152

PECOS Enrollment IDI20220722001359

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

GARDEN PSYCHOLOGY PLLC

Psychologist (Clinical)

7740 N 16TH ST STE 300
PHOENIX, AZ 85020

Maricopa County (802) 274-5291

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 Jack Garden's NPI number?

The NPI number for Jack Garden is 1194860304. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Jack Garden located?

Jack Garden practices at 7740 N 16th St Ste 300, Phoenix, AZ 85020. The listed phone number is (802) 274-5291.

What is Jack Garden's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Is Jack Garden enrolled in Medicare?

Yes. Jack Garden is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Garden accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Jack Garden as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Garden was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.