DR. SCOTT ROBERT HENDRICKSON PHD
NPI 1194893453
Psychologist in Tempe, AZ

Active since December 02, 2006Opted out of Medicare · through Oct 1, 2026
6625 S RURAL RD STE 111, TEMPE, AZ 85283(480) 345-9888(480) 345-2126 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Scott Robert Hendrickson Phd NPPES

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

DR. SCOTT ROBERT HENDRICKSON PHD (NPI 1194893453) is an individual psychologist in Tempe, Arizona, licensed in Arizona (962) and active in the NPI registry since December 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194893453
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SCOTT ROBERT HENDRICKSONCredential: PHD
Location Address6625 S RURAL RD STE 111Tempe, AZ 85283-3717
Mailing Address6625 S Rural Rd Ste 111Tempe, AZ 85283-3717 · (480) 345-9888 · Fax (480) 345-2126
Fax(480) 345-2126
Sole ProprietorYes
Enumeration DateDecember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1194893453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in AZ · 962
Definition
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.
6625 S RURAL RD STE 111, Tempe, AZ 85283

Other Identifiers 2

Other0135130AZ · Bluecrossblueshield
Medicare ID-Type UnspecifiedPHD962

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. Scott Robert Hendrickson Phd 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, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Social Worker (Clinical)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Psychologist (Clinical)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Counselor (Professional)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Dietitian, Registered
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Nurse Practitioner (Psychiatric/Mental Health)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Counselor (Professional)
6625 S RURAL RD STE 111
TEMPE, AZ 85283
Dietitian, Registered
6625 S RURAL RD STE 111
TEMPE, AZ 85283

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 Scott Hendrickson's NPI number?

The NPI number for Scott Hendrickson is 1194893453. It was assigned to this individual provider in the NPPES registry on December 2, 2006.

Where is Scott Hendrickson located?

Scott Hendrickson practices at 6625 S Rural Rd Ste 111, Tempe, AZ 85283. The listed phone number is (480) 345-9888.

What is Scott Hendrickson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Scott Hendrickson enrolled in Medicare?

No. Scott Hendrickson 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. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Scott Hendrickson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.