Individual provider Active NPI

Neil Seabern Stafford, PSY.D.

  • Clinical Psychologist
  • Litchfield Park, AZ
National Provider Identifier
1649255357
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3691 Issued in AZ
Practice address
13385 W McDowell Rd
Litchfield Park, AZ 85395
Phone
(623) 687-7460
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3691 AZ Primary

Addresses

Primary practice location

13385 W McDowell Rd
Litchfield Park, AZ 85395

Mailing address

18809 W Elm St
Litchfield Park, AZ 85340-9560
Phone (623) 687-7460

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
I20050427000873 AZ Practitioner - Clinical Psychologist 7911946124 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3691AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Rain Health and Wellbeing Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jun 13, 2023 Accepting new patients
Desert Rain Healthcare LLC Past Accepting new patients

Locations

13385 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 986-5110

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

Organizations & group practices 3

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1649255357",
    "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": "13385 W MCDOWELL RD",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-687-7460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "NEIL",
        "middle_name": "SEABERN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.