Individual provider Active NPI

Roxane Renee Thorstad, PSYD

  • Clinical Psychologist
  • Tempe, AZ
National Provider Identifier
1679532998
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3694 Issued in AZ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 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 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

LicenseStateTypeSpecialty
3694AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.