Jon Van Doren, PH.D., PLLC
NPI 1124211826ActiveOrganization· Clinical Neuropsychologist· Phoenix, AZ
Clinical Neuropsychologist in Phoenix, Arizona, registered in NPPES in August 2007. The authorized official on file is Jon Jay Vandoren, PH.D., Sole Proprietor, Neuropsychologist.
Overview
| NPI | 1124211826 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2007 |
| Last updated in NPPES | Aug 30, 2025 |
| Certified by provider | Aug 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 2081 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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