JACK GARDEN HSPP NPI 1194860304

NPI Information

  • NPI: 1194860304
  • Provider Name: JACK GARDEN, HSPP
  • Classification: Psychologist - 103TH0100X
  • Specialization: Health Service
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 7740 N 16TH ST STE 300
    PHOENIX, AZ
    ZIP 85020
  • Phone: (802) 274-5291

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NPI Details

Jack Garden, HSPP is a health service psychologist in Phoenix, AZ with 31 years of experience. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). Jack Garden, HSPP NPI is 1194860304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7740 N 16TH ST STE 300
PHOENIX, AZ
ZIP 85020-473
Phone: (802) 274-5291

The NPI 1194860304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 9/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TH0100XPsychologistHealth ServicePSY-004725ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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