Cynthia Stahura, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4601 Issued in AZ

Practice address

17220 N Boswell Blvd Ste 206
Sun City, AZ 85373-2070

Phone

(928) 228-0346

Fax

(844) 464-1201

NPI assigned

Feb 18, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  AZ

  Medicare reassignment Care Compare group
• Sisu Psychological Services LLC

  • Clinical Psychologist
  • Sun City, AZ
  • NPI 1962880377
  Authorized official Same address or phone

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686441600000",
    "number": "1407247091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17807 N PALO VERDE DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732143",
            "telephone_number": "602-751-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17220 N BOSWELL BLVD STE 206",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732070",
            "telephone_number": "928-228-0346",
            "fax_number": "844-464-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10451 W Palmeras Dr Ste 206",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853732013",
            "country_code": "US",
            "telephone_number": "928-228-0346",
            "fax_number": "928-222-2290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAHURA",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-18",
        "last_updated": "2023-06-11",
        "certification_date": "2023-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "988196",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary T a Spohn-Carle, DOM, L.AC.
• Paul Sprycha, RN
• Squaw Peak Anesthesia Inc
• SRF Inc (Physician's Select Hearing Centers)
• Srinivasa R Palnati MD PC
• Stat Behavioral Solutions LLC
• Eric Daniel Stenson, PT
• Patricia J Stephenson, MD
• Barry Stern, MD
• Doug Stevens

• Clinical Psychologist in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.