Staci Broadwell, PSY.D
Clinical Psychologist · Phoenix, AZ
Staci Broadwell, PSY.D is a clinical psychologist with a practice address in Phoenix, Arizona, and NPI 1467696419, issued on Apr 21, 2009. Check the license (Arizona 4519, as entered in NPPES) with the Arizona board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Staci Broadwell
- Credential
- PSY.D
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License numbers
- 4519 AZ
017898 NY
Self-reported in NPPES; status is on the state search - Practice location
- 3830 E Van Buren St, Phoenix, AZ 85008
- Phone
- (602) 243-7277
- Enumerated
- Apr 21, 2009
- Record last updated
- Jun 12, 2024
- Fax
- (602) 286-0808
- Medicaid ID
- 206766 AZ
- Medicare enrollment
- Enrolled (PECOS I20171220003298); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 841 in Arizona → Look up another NPI →
Also registered at 3830 E Van Buren St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Staci Broadwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Arizona board licenses this profession
Search for license 4519Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 87.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Banner Physician Specialists Arizona LLCChandler, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Staci Broadwell among 841 clinical psychologist records in Arizona
Staci Broadwell, PSY.D is one of 841 clinical psychologist records with a practice address in Arizona. 14% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 46% of them.
- NPI issued2009 · 46% of these records are older, 50% newer
- In a Medicare fileYes · 14% of these records are
- In the CMS Doctors and Clinicians fileYes · 24% of these records are
- Graduated2005 · median 2007 among the 200 with a school on file
- Record last updated2024 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Arizona practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Clinical Psychologist providers in Arizona
There are 841 clinical psychologist records in Arizona.
All 841 in Arizona → Every provider in Phoenix → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Lauren Brooks, PHDPhoenix, AZ 850081578312088
- John Charleson, PH.D.Phoenix, AZ 850081518620277
- Sharona Feld, PSYDPhoenix, AZ 850081609638113
- Aida Fernandez, PH.D.Phoenix, AZ 850081982148037
- Kiernan Gilbert, PSY.D.Phoenix, AZ 850081225658313
- Deborah Gross, PSY.D.Phoenix, AZ 850081417016254
- Christine Johnston, PSY.D.Phoenix, AZ 850081144473968
- Daniella PedrosoPhoenix, AZ 850081215591623
Common questions
What is Staci Broadwell, PSY.D's NPI number?
Staci Broadwell, PSY.D's National Provider Identifier (NPI) is 1467696419, issued on Apr 21, 2009. An NPI identifies a provider in billing; it is not a license.
Where is Staci Broadwell, PSY.D located?
The NPPES record lists a practice address at 3830 E Van Buren St, Phoenix, AZ, 85008. Phone: (602) 243-7277. Providers update this record themselves, so call before visiting.
How can I verify Staci Broadwell, PSY.D's license?
NPPES lists Arizona license number 4519, as entered by the provider. Search the Arizona board that licenses this profession; the NPPES record confirms identity only.
What is Staci Broadwell, PSY.D's MIPS final score?
The 2023 MIPS final score is 87.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.