Jon Van Doren, Ph.D., Pllc
Jon Van Doren, Ph.D., Pllc is a healthcare organization registered as Clinical Neuropsychologist in Phoenix, AZ, holding Type 2 (organization) NPI 1124211826 since 2007. The authorized official on file is Jon Vandoren, Sole Proprietor, Neuropsychologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124211826 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jon Van Doren, Ph.D., Pllc |
| Other name | <Unavail> |
| Practice address | 7330 N 16TH ST STE A120, Phoenix, AZ, 85020 |
| Phone | 4806996968 |
| Fax | 4806664803 |
| Enumeration date | 2007-08-26 |
| Last updated in NPPES | 2025-08-30 |
Authorized official
| Name | Jon Vandoren |
|---|---|
| Title | Sole Proprietor, Neuropsychologist |
| Phone | 4806996968 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | Primary | 2081 | AZ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114072220 | Other | — | NPI |
Copy-ready billing details
Provider: Jon Van Doren, Ph.D., Pllc NPI: 1124211826 Taxonomy: 103G00000X (Clinical Neuropsychologist) Address: 7330 N 16TH ST STE A120, Phoenix, AZ, 85020
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1114072220 | Jon Vandoren | Individual | Clinical Neuropsychologist | Phoenix, AZ |
Verify this record
Cross-check NPI 1124211826 against the authoritative CMS record: view Jon Van Doren, Ph.D., Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Jon Van Doren, Ph.D., Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-08-30.