Dr Jon Jay Vandoren, PH D is a medicare enrolled "Clinical Neuropsychologist" provider in Scottsdale, Arizona. His current practice location is
10613 N Hayden Rd Ste J108, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 699-6968.
Dr Jon Jay Vandoren is licensed to practice in Arizona (license number 2081) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114072220.
Healthcare Provider's Profile
Full Name | Dr Jon Jay Vandoren |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 10613 N Hayden Rd Ste J108, Scottsdale, Arizona |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jon Jay Vandoren attended and graduated from in
NPI Data:
- NPI Number: 1114072220
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jon Jay Vandoren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114072220 | NPI | - | NPPES |
Z60229 | Other | AZ | MEDICARE GROUP PIN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 2081 (Arizona) | Secondary |
103TF0200X | Psychologist - Forensic | 2081 (Arizona) | Secondary |
103TP2701X | Psychologist - Group Psychotherapy | 2081 (Arizona) | Secondary |
103TR0400X | Psychologist - Rehabilitation | 2081 (Arizona) | Secondary |
103G00000X | Clinical Neuropsychologist | 2081 (Arizona) | Primary |
103T00000X | Psychologist | 2081 (Arizona) | Secondary |
103TA0700X | Psychologist - Adult Development & Aging | 2081 (Arizona) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | 2081 (Arizona) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jon Jay Vandoren is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jon Jay Vandoren, PH D 10613 N Hayden Rd Ste J108, Scottsdale, AZ 85260-5576 Ph: (480) 699-6968 | Dr Jon Jay Vandoren, PH D 10613 N Hayden Rd Ste J108, Scottsdale, AZ 85260-5576 Ph: (480) 699-6968 |
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