Active NPI
Roxane Renee Thorstad, PSYD
- Clinical Psychologist
- Tempe, AZ
National Provider Identifier
1679532998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3694
- Practice address
- 301 W Warner Rd Ste 133
Tempe, AZ 85284-2964 - Phone
- (480) 656-0500
- Fax
- (480) 656-0770
- NPI assigned
- Mar 23, 2006
- Last updated
- Mar 20, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3694 | AZ | Primary |
Addresses
Primary practice location
301 W Warner Rd Ste 133
Tempe, AZ 85284-2964
Mailing address
301 W Warner Rd Ste 133
Tempe, AZ 85284-2964
Phone (480) 656-0500
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 |
|---|---|---|---|
| 3694 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeys Counseling Center, PLLC | Clinical | Current | Accepting new patients |
| Journeys Counseling Center, PLLC | Clinical | Current | Accepting new patients |
Locations
6515 S Rural Rd
Ste 101
Tempe, AZ 85283
Phone (480) 656-0500
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1679532998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W WARNER RD STE 133",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842964",
"telephone_number": "480-656-0500",
"fax_number": "480-656-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W WARNER RD STE 133",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852842964",
"telephone_number": "480-656-0500",
"fax_number": "480-656-0770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSTAD",
"first_name": "ROXANE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "3694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.