Active NPI
Robert Donald Stockman, PHD
- Psychologist
- Fountain Hills, AZ
National Provider Identifier
1952530925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4033
- Practice address
- 16412 E Glenbrook Blvd
Fountain Hills, AZ 85268-2243 - Phone
- (480) 323-0485
- NPI assigned
- Jul 10, 2009
- Last updated
- Jul 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4033 | AZ | Primary |
Addresses
Primary practice location
16412 E Glenbrook Blvd
Fountain Hills, AZ 85268-2243
Mailing address
16412 E Glenbrook Blvd
Fountain Hills, AZ 85268-2243
Phone (480) 323-0485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2021 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4033 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1952530925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16412 E GLENBROOK BLVD",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852682243",
"telephone_number": "480-323-0485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16412 E GLENBROOK BLVD",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852682243",
"telephone_number": "480-323-0485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOCKMAN",
"first_name": "ROBERT",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-07-10",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "4033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.