Organization Active NPI

David Joel Beckstead, PHD, LLC

  • Psychologist
  • Queen Creek, AZ
National Provider Identifier
1871037119
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3923 Issued in AZ
Legal business name
DAVID JOEL BECKSTEAD, PHD, LLC
Practice address
18610 E Druids Glen Rd
Queen Creek, AZ 85142-6458
Phone
(480) 313-5285
NPI assigned
Dec 6, 2016
Last updated
Dec 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Dr. David Joel Beckstead, PHD
Title
President
Phone
(480) 313-5285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3923 AZ Primary

Addresses

Primary practice location

18610 E Druids Glen Rd
Queen Creek, AZ 85142-6458

Mailing address

18610 E Druids Glen Rd
Queen Creek, AZ 85142-6458
Phone (480) 313-5285

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1871037119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18610 E DRUIDS GLEN RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426458",
            "telephone_number": "480-313-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18610 E DRUIDS GLEN RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426458",
            "telephone_number": "480-313-5285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOEL BECKSTEAD, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "BECKSTEAD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-313-5285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.