IndividualActive
Justin Dallacqua, J.D., PSY.D.
NPI 1780059584 · Psychologist · Flagstaff, AZ
Justin Dallacqua, J.D., PSY.D. is a Psychologist provider in Flagstaff, AZ (NPI 1780059584).
Provider details
- NPI number
- 1780059584
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- J.D., PSY.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4681 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
408 N Kendrick St
Suite 3
Flagstaff, AZ 86001-1582
Phone: (602) 456-2148
Street-level locationGet directions
Mailing address
761 E University Dr
Mesa, AZ 85203-7961
Registry dates
- Enumerated
- 2015-12-04
- Last updated
- 2015-12-04
Frequently asked questions
- What is Justin Dallacqua's NPI number?
- Justin Dallacqua's National Provider Identifier (NPI) is 1780059584, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Dallacqua's specialty?
- Justin Dallacqua is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Justin Dallacqua located?
- Justin Dallacqua's practice location on file with NPPES is 408 N Kendrick St, Flagstaff, AZ 86001-1582.
- What is Justin Dallacqua's phone number?
- The practice phone number listed in the NPPES registry for Justin Dallacqua is (602) 456-2148.
- Is Justin Dallacqua's NPI active?
- Yes — Justin Dallacqua's NPI (1780059584) is active in the NPPES registry as of the last update on 2015-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.