Active NPI
Joseph B Stewart, EDD
- Forensic Psychologist
- Prescott, AZ
National Provider Identifier
1609821768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- 0656
- Practice address
- 919 12TH Place
Suite 13
Prescott, AZ 86305 - Phone
- (928) 778-2180
- Fax
- (928) 717-1072
- NPI assigned
- May 24, 2006
- Last updated
- Jul 13, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0656 | AZ | |
| Forensic Psychologist | 103TF0200X | 0656 | AZ | Primary |
Addresses
Primary practice location
919 12TH Place
Suite 13
Prescott, AZ 86305
Mailing address
919 12TH Place
Suite 13
Prescott, AZ 86305
Phone (928) 778-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0133150 | Other | AZ | BCBS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 656 | AZ | MD | Primary Podiatric Medicine Podiatrist |
| 0656 | AZ | MD | Sports Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609821768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 12TH PLACE",
"address_2": "SUITE 13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-778-2180",
"fax_number": "928-717-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 12TH PLACE",
"address_2": "SUITE 13",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "86305",
"telephone_number": "928-778-2180",
"fax_number": "928-717-1072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JOSEPH",
"middle_name": "B",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "0656",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "AZ",
"license": "0656",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "AZ0133150",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.