Staci Broadwell, PSY.D
NPI 1467696419 · Clinical Psychologist · Phoenix, AZ
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Staci Broadwell, PSY.D is a Clinical Psychologist provider in Phoenix, AZ (NPI 1467696419).
Provider details
- NPI number
- 1467696419
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D
- Sex
- Female
- Sole proprietor
- No
- License
- 017898 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-04-21
- Last updated
- 2024-06-12
Frequently asked questions
- What is Staci Broadwell's NPI number?
- Staci Broadwell's National Provider Identifier (NPI) is 1467696419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Staci Broadwell's specialty?
- Staci Broadwell is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Staci Broadwell located?
- Staci Broadwell's practice location on file with NPPES is 3830 E Van Buren St, Phoenix, AZ 85008-6920.
- What is Staci Broadwell's phone number?
- The practice phone number listed in the NPPES registry for Staci Broadwell is (602) 243-7277.
- Does Staci Broadwell accept Medicare?
- Staci Broadwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Staci Broadwell's NPI active?
- Yes — Staci Broadwell's NPI (1467696419) is active in the NPPES registry as of the last update on 2024-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.