Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jack Deeming

Psychologist • Phoenix, AZ

Active NPI 1366324642 Individual Practitioner
Practice location in NPPES

7600 N 15th St Ste 100
Phoenix, AZ 850204330

Call 6022242277 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7600 N 15th St Ste 100

Phoenix, AZ 850204330

Telephone 6022242277
Organization at the Same NPPES Address or Phone
Mental Health Center Of America, Llc Facility NPI 1235700303

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Phoenix and Arizona

209 active clinicians are listed under Psychologist with a practice address in Phoenix, AZ (724 in Arizona).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Phoenix

5.7% of these 209 clinicians have the CMS telehealth indicator.

12.9% of these 209 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-07-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES AZ PSY-005901

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Arizona Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Mona Amini , MD

Psychiatry & Neurology - Psychiatry

NPI 1770710782

Doctor of Medicine (M.D.)

Devon Hoepfner , PA-C

Physician Assistant

NPI 1588342406

Physician Assistant (Certified)

Lynn Maupin , PMHNP-BC, FNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1902060080

Psychiatric-Mental Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Board Certified)

Kristen Northup

Psychologist - Clinical

NPI 1700587748
Dr. Soffia Palsdottir , PsyD

Psychologist - Clinical

NPI 1073050456

Doctor of Psychology (Psy.D.)

Raul Rivera , PA-C

Physician Assistant

NPI 1326638172

Physician Assistant (Certified)

Career & Practice History

NPI enumerated July 25, 2025.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2025 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1366324642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2025
Last Update: July 25, 2025
Sole Proprietor: Yes

Other Psychologists in Phoenix

All Psychologists in Phoenix

Mailing Address

28425 N Black Canyon Hwy Unit 2062

Phoenix, AZ 850857612

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.