DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS, PLLC (NPI# 1821283342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821283342 |
| Entity Type | Organization |
| Organization Name | DESERT VISTA NEUROPSYCHOLOGICAL SPECIALISTS, PLLC |
| Practice Address |
7227 N 16th St Suite 219 Phoenix AZ 85020-5251 |
| Practice Telephone | 6022166900 |
| Practice Fax Number | 6023719889 |
| Mailing Telephone | 6022166900 |
| Mailing Fax Number | 6023719889 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | DR. JOHN ROBERT WALKER III (NEUROPSYCHOLOGIST) |
| Authorized Official Telephone | 4806889635 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 3593 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
7227 N 16TH ST SUITE 219 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85020-5251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376519124 | Carol A. Stamos | Counselor | 7227 N 16th St, Ste. 222, Phoenix, AZ 85020-5251 | 2006-02-23 |
| 1932500980 | Allison Garrett | Counselor | 7227 N 16th St, Suite 213, Phoenix, AZ 85020-5251 | 2014-09-09 |
| 1922409978 | Take Heart Counseling & Consulting, Pllc | Counselor | 7227 N 16th St, Suite 213, Phoenix, AZ 85020-5251 | 2014-09-09 |
| 1124262597 | Kali Senior Services, Inc. | In Home Supportive Care | 7227 N 16th St, Suite114, Phoenix, AZ 85020-5251 | 2009-04-28 |
| 1336328806 | A Positive Outcome Neuropsychology Services Pllc | Psychologist | 7227 N 16th St, Suite 222, Phoenix, AZ 85020-5251 | 2007-10-31 |
| 1447443205 | Barbara Anderson | Physical Therapist | 7227 N 16th St, Phoenix, AZ 85020-5251 | 2007-08-23 |
| 1336349513 | Gerald S. Mayer, Ph.d., P.C. | Psychologist | 7227 N 16th St, Suite 222, Phoenix, AZ 85020-5251 | 2007-07-24 |
| 1184740144 | Lisa M Burgess | Psychologist | 7227 N 16th St, Suite 219, Phoenix, AZ 85020-5251 | 2007-03-21 |
| 1912048422 | Catherine S. O'connell, PC | Psychologist | 7227 N 16th St, Suite 219, Phoenix, AZ 85020-5251 | 2007-02-08 |
| 1831278688 | All Valley Home Health Care & Nursing Inc | Home Health | 7227 N 16th St, Suite 125, Phoenix, AZ 85020-5251 | 2006-11-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683537 | Joseph A Jones | Pharmacist | 7543 N 20th St, Phoenix, AZ 85020 | 2019-05-01 |
| 1871022210 | Amber L Enright | Physical Therapist | 1675 E Morten Ave, 4155, Phoenix, AZ 85020 | 2017-06-08 |
| 1518407683 | Harmony Dental Partners, LLC | Dentist | 7150 North 7th Street, Phoenix, AZ 85020 | 2017-03-08 |
| 1104369495 | Michelle Mastro | Registered Nurse | 1234 E. Northern Avenue, Phoenix, AZ 85020 | 2016-11-18 |
| 1912363003 | Charles D. Atkinson | Social Worker | 1716 East Seldon Lane, Phoenix, AZ 85020 | 2016-01-06 |
| 1477928471 | Erin Testa | Psychologist | 7600 N 16th St Ste 218, Phoenix, AZ 85020 | 2015-12-02 |
| 1972977569 | Borpan Monitoring, Pllc | Psychiatry & Neurology | 7000 N 16th Street Ste 120 # 281, Phoenix, AZ 85020 | 2015-11-19 |
| 1275906984 | Summer Macey | Nurse Practitioner | 9225 N. 3rd St #304, Affiliated Hospitalists, Phoenix, AZ 85020 | 2015-11-03 |
| 1356712772 | Maurie S Comenzo | Clinic/Center | 11024 North 28th Drive/suite #200, Lake Biltmore Corporate Center, Phoenix, AZ 85020 | 2015-10-12 |
| 1700260692 | Stansberry Family Dentistry Pllc | Dentist | 7501 N. 16th St. #100, Phoenix, AZ 85020 | 2015-07-10 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1750862264 | Focus Neuropsychology Az, Pllc | Clinical Neuropsychologist | 2400 N Central Ave Ste 204, Phoenix, AZ 85004-1341 | 2018-08-22 |
| 1386172732 | Brett Andersen | Clinical Neuropsychologist | 300 W Clarendon Ave Ste 130, Phoenix, AZ 85013-3421 | 2017-05-30 |
| 1164973467 | Neuropsychology Associates, PC | Clinical Neuropsychologist | 1515 E Missouri Ave Ste 110, Phoenix, AZ 85014-2443 | 2016-10-21 |
| 1437524733 | Pinnacle Center, Inc. | Clinical Neuropsychologist | 4423 N 24th St, Phoenix, AZ 85016-5544 | 2015-12-11 |
| 1275969867 | Kiran Amin | Clinical Neuropsychologist | 720 E Peoria Ave, Phoenix, AZ 85020-1575 | 2013-09-16 |
| 1164864161 | Surabhi Yeshwant Patwardhan | Clinical Neuropsychologist | 3550 N Central Ave Ste 1407, Phoenix, AZ 85012-2112 | 2013-07-19 |
| 1366798050 | Irna Lynn Shamos | Clinical Neuropsychologist | 4516 East Onyx Avenue, Arizona Psychological Diagnostics, Plc, Phoenix, AZ 85028 | 2012-07-31 |
| 1295007557 | Robin C Ford | Clinical Neuropsychologist | 4144 N 44th St Ste E, Phoenix, AZ 85018-4260 | 2012-02-02 |
| 1699954800 | Barbara M Maxwell, Phd, Plc | Clinical Neuropsychologist | 11001 N 7th St, 1183, Phoenix, AZ 85020-1142 | 2007-10-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.