Desert Rain Health and Wellbeing

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3691 Issued in AZ

Legal business name

DESERT RAIN HEALTH AND WELLBEING

Practice address

12725 W Indian School Rd
Ste 102
Avondale, AZ 85392

Phone

(602) 399-0397

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Neil Seabern Stafford, PSY.D.NPI 1649255357

Title

President

Phone

(623) 687-7460

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Neil Seabern Stafford, PSY.D.

  • Clinical Psychologist
  • Litchfield Park, AZ
  • NPI 1649255357
  NPD Authorized official

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1487143152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18809 W ELM ST",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853409560",
            "telephone_number": "623-687-7460",
            "fax_number": "480-247-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD",
            "address_2": "STE 102",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "85392",
            "telephone_number": "602-399-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT RAIN HEALTH AND WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "SEABERN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-687-7460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.