Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447480538 Individual Practitioner Male Practitioner

Dr. John Philip Dibacco , PhD

Psychologist - Forensic • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Dr. John Dibacco, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Phoenix, AZ. Practice services are available at 11811 N TATUM BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11811 N Tatum Blvd
P115

Phoenix, AZ 850281614

Telephone 6029536165
Associated Practice Facility / Clinic
🏢 Hospice Traditions Llc Facility NPI 1184059875

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 44.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Phoenix, AZ (21 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License AZ 524

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Psychologist - Forensic

NUCC Taxonomy Code: 103TF0200X

State License NV 131

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1336334440

Doctor of Psychology (Psy.D.)

Danielle Bosma , LCSW

Social Worker - Clinical

NPI 1407599038

Licensed Clinical Social Worker

Cora Bruno , LCSW

Counselor - Mental Health

NPI 1417055781

Licensed Clinical Social Worker

Latoya Smart

Psychologist - Clinical

NPI 1427664234
Jodi Stone , MA, LPC

Counselor - Professional

NPI 1811165996

Master of Arts, Licensed Professional Counselor

Felice Goff , LCSW

Social Worker

NPI 1831188853

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 23, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2009

Registered at 11811 N TATUM BLVD, P115, PHOENIX, AZ 850281614 (Tel: 6029536165)

📍
Updated Business Mailing Address July 23, 2009

Registered at 11811 N TATUM BLVD, P115, PHOENIX, AZ 850281614 (Tel: 6029536165)

👤
Provider Name / Credentials Updated July 23, 2009

Recorded as JOHN DIBACCO, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2009

Psychologist (License #524 in AZ)

🟢
Initial NPI Registration & Enumeration July 23, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447480538
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2009
Last Update: July 23, 2009
Sole Proprietor: No

Mailing Address

11811 N Tatum Blvd, P115

Phoenix, AZ 850281614

Phone: 6029536165

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.