Active NPI
Douglas J Stockwell, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1518918416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G5653
- Practice address
- 500 W Thomas Rd Ste 230
Phoenix, AZ 85013 - Phone
- (602) 406-9999
- Fax
- (602) 406-8099
- NPI assigned
- May 15, 2006
- Last updated
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G5653 | TX | Primary |
Addresses
Primary practice location
500 W Thomas Rd Ste 230
Phoenix, AZ 85013
Mailing address
3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786
Other practice location 1
5959 West Loop S
Suite 600
Bellaire, TX 77401-2421
Phone (713) 669-0303
Other practice location 2
350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3874
Other practice location 3
5959 West Loop S
Suite 600
Bellaire, TX 77401-2421
Phone (713) 669-0303
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114122 | Medicaid | AZ | |
| 137426604 | Medicaid | TX | |
| 260041159 | Other | TX | RAILROAD MEDICARE |
| 076126 | Other | TX | VALUE OPTIONS |
| 85500X | Other | TX | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1518918416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 N CENTRAL AVE STE 1001",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122716",
"telephone_number": "602-406-4786",
"fax_number": "913-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W THOMAS RD STE 230",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85013",
"telephone_number": "602-406-9999",
"fax_number": "602-406-8099"
}
],
"practiceLocations": [
{
"address_1": "5959 West Loop S",
"address_2": "SUITE 600",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774012421",
"country_code": "US",
"telephone_number": "713-669-0303",
"fax_number": "713-669-0704",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 W Thomas Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850134409",
"country_code": "US",
"telephone_number": "602-406-3874",
"fax_number": "602-212-4768",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5959 West Loop S",
"address_2": "SUITE 600",
"address_purpose": "LOCATION",
"city": "Bellaire",
"state": "TX",
"postal_code": "774012421",
"country_code": "US",
"telephone_number": "713-669-0303",
"fax_number": "713-669-0704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOCKWELL",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "G5653",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114122",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "137426604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "260041159",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "076126",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "85500X",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.