DR. JESSICA M POTVIN PHD
NPI 1285720771
Clinical Neuropsychologist in Phoenix, AZ

Q: What is Jessica Potvin's NPI number?

The NPI number for Jessica Potvin is 1285720771. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Jessica Potvin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Potvin was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment

222 W THOMAS RD STE 315, PHOENIX, AZ 85013(602) 406-3671(602) 406-6115 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2022, Nov 17, 2021, Sep 18, 2018 (3 updates tracked since 2018).

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About Dr. Jessica M Potvin Phd NPPES

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

DR. JESSICA M POTVIN PHD (NPI 1285720771) is an individual clinical neuropsychologist in Phoenix, Arizona, licensed in Arizona (3807) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1285720771

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameDR. JESSICA M POTVINCredential: PHD

Location Address222 W THOMAS RD STE 315Phoenix, AZ 85013-4422

Mailing Address222 W Thomas Rd Ste 315Phoenix, AZ 85013-4422 · (602) 406-3671 · Fax (602) 406-6115

Phone(602) 406-3671

Fax(602) 406-6115

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 4, 2006

Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 26, 2022

✔ NPI 1285720771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in AZ · 3807

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.

222 W THOMAS RD STE 315, Phoenix, AZ 85013

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Secondary Practice Locations 2

Location 13000 New Bern Ave, Department of NeuropsychologyRaleigh, NC 27610-1231 · Phone (919) 350-7878 · Fax (919) 350-7130

Location 2222 W Thomas Rd Ste 401Phoenix, AZ 85013 · Phone (602) 406-3473 · Fax (602) 406-4406

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..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

Dr. Jessica M Potvin Phd 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 ID5496753220

PECOS Enrollment IDI20061110000084

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.

Areas of Expertise CMS Part B claims 8

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.

101 services22 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.

46 services21 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.

35 services34 patients

Treatment of behavior impacting health, initial 30 minutes 96158

This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.

28 services19 patients

Treatment of behavior impacting health with family and patient, initial 30 minutes 96167

This treatment involves a healthcare professional discussing with you and your family about behaviors impacting health. The initial session lasts for 30 minutes, focusing on understanding the behavior and suggesting ways to improve it for better health outcomes.

27 services21 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.

22 services22 patients

Other Providers at the Same Location NPPES 12

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

DR. GREGORY P. LEE PHD

Clinical Neuropsychologist