Active NPI
David Joel Beckstead, PHD, PSYCHOLOGIST
- Clinical Psychologist
- Queen Creek, AZ
National Provider Identifier
1144477019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3923
- Practice address
- 18610 E Druids Glen Rd
Queen Creek, AZ 85242-6458 - Phone
- (480) 987-2486
- NPI assigned
- Aug 22, 2008
- Last updated
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3923 | AZ | Primary |
Addresses
Primary practice location
18610 E Druids Glen Rd
Queen Creek, AZ 85242-6458
Mailing address
18610 E Druids Glen Rd
Queen Creek, AZ 85242-6458
Phone (480) 987-2486
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3923 | AZ | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1144477019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18610 E DRUIDS GLEN RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852426458",
"telephone_number": "480-987-2486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18610 E DRUIDS GLEN RD",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "852426458",
"telephone_number": "480-987-2486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKSTEAD",
"first_name": "DAVID",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PHD, PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queen Creek, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.