Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1487767513 Deactivated / Inactive NPI Male Practitioner

Dr. Jay K. Rathbun , PhD

Psychologist • Phoenix, AZ

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Rathbun has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2006
NPI Deactivation Date May 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Rathbun, PhD was a registered Psychologist practicing in Phoenix, AZ. Throughout an active medical career spanning 13 years, Dr. Rathbun provided care at the practice location at 650 E INDIAN SCHOOL RD until profile deactivation on 2019-05-09.

Practice Location & Contact Primary Location

Practice Address

650 E Indian School Rd

Phoenix, AZ 850121839

Telephone 6022775551
Associated Practice Facility / Clinic
🏢 Phoenix Vamc Facility NPI 1184682676

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.6 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
223 Specialists

Practicing in Phoenix, AZ (788 Statewide)

Telehealth Adoption Rate
5.4% 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301006365

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Korena Fine , RN

Registered Nurse

NPI 1003003807

Registered Nurse

NPI 1003062837

Doctor of Pharmacy (Pharm.D.)

NPI 1003225673

Certified Nursing Assistant

NPI 1003588815

Doctor of Pharmacy (Pharm.D.)

NPI 1003647314
Dr. Venu Gopal , MD

Internal Medicine - Geriatric Medicine

NPI 1003853912

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 09, 2019

Record deactivated on May 09, 2019

NPI Profile Active January 27, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2011

Registered at 650 E INDIAN SCHOOL RD, PHOENIX, AZ 850121839 (Tel: 6022775551)

📍
Updated Business Mailing Address January 27, 2011

Registered at 650 E INDIAN SCHOOL RD, PHOENIX, AZ 850121839 (Tel: 6022775551)

👤
Provider Name / Credentials Updated January 27, 2011

Recorded as JAY RATHBUN, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2011

Psychologist (License #6301006365 in MI)

🟢
Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Jay Rathbun. Be the first to share your experience!

Sign in to leave a review for Dr. Jay Rathbun

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1487767513
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: January 27, 2011
Deactivation Date: May 09, 2019

Mailing Address

650 E Indian School Rd

Phoenix, AZ 850121839

Phone: 6022775551

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.