Individual provider Active NPI

John Stapert, PHD

  • Psychologist
  • Phoenix, AZ
National Provider Identifier
1467557892
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1784 Issued in AZ
Practice address
6232 N 7TH St
Suite 206-B
Phoenix, AZ 85014-1839
Phone
(602) 279-0098
Fax
(602) 279-8920
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1784 AZ Primary

Addresses

Primary practice location

6232 N 7TH St
Suite 206-B
Phoenix, AZ 85014-1839

Mailing address

6232 N 7TH St
Suite 206-B
Phoenix, AZ 85014-1839
Phone (602) 279-0098

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051006001037 AZ Practitioner - Clinical Psychologist 3476578618 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1784AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
John Stapert PHD PLLC Psychologist CurrentSince May 1, 2007 Accepting new patients

Locations

17235 N 75th Ave
Ste E170
Glendale, AZ 85308
Phone (602) 571-1978

6232 N 7th St
Ste 206B
Phoenix, AZ 85014
Phone (602) 279-0098

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1467557892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6232 N 7TH ST",
            "address_2": "SUITE 206-B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141839",
            "telephone_number": "602-279-0098",
            "fax_number": "602-279-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6232 N 7TH ST",
            "address_2": "SUITE 206-B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141839",
            "telephone_number": "602-279-0098",
            "fax_number": "602-279-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAPERT",
        "first_name": "JOHN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.