DR. MICHAEL LEE STANFILL PH.D. NPI 1487835203

NPI Information

NPI: 1487835203
Provider Name: DR. MICHAEL LEE STANFILL, PH.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
11878 AVENUE OF INDUSTRY
SAN DIEGO, CA
ZIP 92128
Phone: (858) 675-4200
Get Directions

DR. Michael Lee Stanfill, PH.D. is a clinical psychologist in San Diego, CA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Michael Lee Stanfill, PH.D. NPI is 1487835203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11878 AVENUE OF INDUSTRY
SAN DIEGO, CA
ZIP 92128-423
Phone: (858) 675-4200

The enumeration date for this NPI number is 11/20/2007 and was last updated on 7/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		PY60273012	WASHINGTON	No
2	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PY60273012	WASHINGTON	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	PY60273012	WASHINGTON	No
4	103TB0200X	Psychologist	Cognitive & Behavioral	PY60273012	WASHINGTON	No
5	103TF0200X	Psychologist	Forensic	PY60273012	WASHINGTON	No
6	103TP2701X	Psychologist	Group Psychotherapy	PY60273012	WASHINGTON	No
7	103TH0100X	Psychologist	Health Service	PY60273012	WASHINGTON	No
8	103TC0700X	Psychologist	Clinical	PY60273012	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PY60273012	OTHER	WASHINGTON	PSYCHOLOGY LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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