David Edwin Stetson, PHD, PSYCHOL

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

PSYCHOL 3521 Issued in AZ

Practice address

1615 S 1St Ave
Safford, AZ 85546-2103

Phone

(928) 428-4550

Fax

(928) 428-4588

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dutchess County Commissioner of Finance

  dba Dutchess County Department of Health

  • Case Management Agency
  • Poughkeepsie, NY
  • NPI 1811010689
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093896318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 N ARROYO BLVD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212644",
            "telephone_number": "520-287-4713",
            "fax_number": "520-287-9794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S 1ST AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462103",
            "telephone_number": "928-428-4550",
            "fax_number": "928-428-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETSON",
        "first_name": "DAVID",
        "middle_name": "EDWIN",
        "credential": "PHD, PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AZ",
            "license": "PSYCHOL 3521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ AHCCCES",
            "identifier": "970382",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Arizona Consumer-Run Services (Wellness Connections)
• Southwest Ambulance of Southeastern Arizona Inc (American Medical Response; AMR)
• Southwestern Eye Center LTD
• Southwestern Eye Center LTD (Southwestern Eye Center-Safford Optical)
• Gregg Phillips Standage, M.D.
• Dallin Stevens, MD
• Jonathan D Stevens, D.C.
• Sunset Hills Care and Rehab, Inc
• Synergy Surgical Assisting LLC
• Salina Szady

• Neurology with Special Qualifications in Child Neurology Physician in Safford, AZ
• Providers in Safford, AZ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.