Amra Stafford, PSYD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4402 Issued in AZ

Legal business name

AMRA STAFFORD, PSYD, PLLC

Practice address

67 E Weldon Ave
Suite 320
Phoenix, AZ 85012-2040

Phone

(602) 456-7565

Fax

(602) 266-0234

NPI assigned

Jun 13, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Amra Stafford, PSYD

Title

Clinical Psychologist

Phone

(602) 456-7565

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1003254871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 E WELDON AVE",
            "address_2": "SUITE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122040",
            "telephone_number": "602-456-7565",
            "fax_number": "602-266-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 E WELDON AVE",
            "address_2": "SUITE 320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122040",
            "telephone_number": "602-456-7565",
            "fax_number": "602-266-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMRA STAFFORD, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "AMRA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "602-456-7565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Phoenix, AZ
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.