JUSTIN DALLACQUA J.D., PSY.D.
NPI 1780059584
Psychologist in Flagstaff, AZ

Active since December 04, 2015
408 N KENDRICK ST, SUITE 3, FLAGSTAFF, AZ 86001(602) 456-2148 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Justin Dallacqua J.d., Psy.d. NPPES

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

JUSTIN DALLACQUA J.D., PSY.D. (NPI 1780059584) is an individual psychologist in Flagstaff, Arizona, licensed in Arizona (4681) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1780059584
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJUSTIN DALLACQUACredential: J.D., PSY.D.
Location Address408 N KENDRICK ST, SUITE 3Flagstaff, AZ 86001-1582
Mailing Address761 E University Dr, Suite GMesa, AZ 85203-7961 · (602) 456-2148 · Fax (480) 718-8619
Sole ProprietorYes
Enumeration DateDecember 4, 2015
NPI 1780059584 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 · 4681
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.
408 N KENDRICK ST, Flagstaff, AZ 86001

Accepted Insurance

Other Providers at the Same Location NPPES 15

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

Psychologist
408 N KENDRICK ST, SUITE 3
FLAGSTAFF, AZ 86001
Counselor (Professional)
408 N KENDRICK ST
FLAGSTAFF, AZ 86001
Counselor (Professional)
408 N KENDRICK ST, SUITE 3
FLAGSTAFF, AZ 86001
Psychologist (Counseling)
408 N KENDRICK ST, STE 4
FLAGSTAFF, AZ 86001
Counselor (Mental Health)
408 N KENDRICK ST
FLAGSTAFF, AZ 86001
Radiologic Technologist (Sonography)
408 N KENDRICK ST
FLAGSTAFF, AZ 86001
Psychologist
408 N KENDRICK ST
FLAGSTAFF, AZ 86001
Social Worker (Clinical)
408 N KENDRICK ST, #3
FLAGSTAFF, AZ 86001

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 Justin Dallacqua's NPI number?

The NPI number for Justin Dallacqua is 1780059584. It was assigned to this individual provider in the NPPES registry on December 4, 2015.

Where is Justin Dallacqua located?

Justin Dallacqua practices at 408 N Kendrick St Suite 3, Flagstaff, AZ 86001. The listed phone number is (602) 456-2148.

What is Justin Dallacqua's specialty?

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

What insurance does Justin Dallacqua accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Justin Dallacqua 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 Justin Dallacqua was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.