Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathon Shasteen, PHD, NCSP, LP

Individual provider Psychologist · NPI 1922809300

Jonathon Shasteen, PHD, NCSP, LP is a Clinical Psychologist in Mesa, Arizona. Qualified in 2023, 3 years ago. Practices with Mental Health Center of America, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1745 S Alma School Rd Ste 145
Mesa, AZ 85210-3049
Phone: (602) 704-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 005982 (AZ)

Record details

NPI number1922809300
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , NCSP , LP
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mental Health Center Of America, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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