Healthcare Provider Details

I. General information

NPI: 1932731130
Provider Name (Legal Business Name): ARCADIA NEUROPSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2020
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2999 N 44TH ST STE 415
PHOENIX AZ
85018-7251
US

IV. Provider business mailing address

2999 N 44TH ST STE 415
PHOENIX AZ
85018-7251
US

V. Phone/Fax

Practice location:
  • Phone: 602-675-0335
  • Fax: 602-865-8089
Mailing address:
  • Phone: 602-675-0335
  • Fax: 602-865-8089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN KLINCK
Title or Position: OWNER
Credential:
Phone: 602-675-0335