John Stapert PHD PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

JOHN STAPERT PHD PLLC

Practice address

17235 N 75TH Ave
E170
Glendale, AZ 85308-0831

Phone

(623) 486-3001

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

John Stapert, PHDNPI 1467557892

Title

President

Phone

(623) 486-3001

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Stapert, PHD

  • Psychologist
  • Phoenix, AZ
  • NPI 1467557892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962627174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE",
            "address_2": "E170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE",
            "address_2": "E170",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080831",
            "telephone_number": "623-486-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN STAPERT PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STAPERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-486-3001",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rinson John
• Laurence D Johns, DDS
• Merry Elizabeth Johns, DDS

• Psychologist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.