Prof. Staci Broadwell
PSY.D | Clinical Psychologist | 21+ years Exp
3830 E Van Buren St, Phoenix
Arizona, 85008-6920
602-243-7277 602-286-0808
Maps & DirectionsProf. Staci Broadwell is a Phoenix, Arizona based psychologist with 21 years of experience in Clinical Psychology. She completed her graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Prof. Staci Broadwell is 4519 for Clinical Psychology in Arizona. Her current practice location is 3830 E Van Buren St, Phoenix. Patients can reach her at 602-243-7277 or can fax her at 602-286-0808. Prof. Staci Broadwell is PSY.D in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1467696419.
Prof. Staci Broadwell is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Prof. Staci Broadwell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Prof. Staci Broadwell |
| Specialization: | Clinical Psychology |
| Gender: | Female |
| Credentials: | PSY.D |
| Experience: | 21+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 3830 E Van Buren St, Phoenix,
Arizona, 85008-6920 |
| Phone: | 602-243-7277 |
| Fax: | 602-286-0808 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 1254637747 |
| Enrollment ID: | I20171220003298 |
| NPI Number: | 1467696419 |
| NPI Enumeration Date: | 21 Apr, 2009 |
| NPI Last Update On: | 12 Jun, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prof. Staci Broadwell are as mentioned below.
| License Number | Specialization | State | Status | |
| 4519 | Clinical Psychology | Arizona | Primary | |
| 017898 | Clinical Psychology | New York | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Prof. Staci Broadwell is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Banner Physician Specialists Arizona Llc (6204002272) | 263 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Prof. Staci Broadwell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 206766 | Medicaid | Arizona | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Prof. Staci Broadwell
2702 N 3rd St Ste 4020,
Phoenix, Arizona |
| Zip: | 85004-4608 |
| Phone Number: | 602-323-3492 |
| Fax Number: | 602-323-3399 |
Patients can reach Prof. Staci Broadwell at
3830 E Van Buren St, Phoenix, Arizona or can
call to book an appointment on 602-243-7277.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.