Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Stephanie Nicolai, PSYD

Individual provider Clinical Psychologist · NPI 1790065282

Dr. Stephanie Nicolai, PSYD is a Clinical Psychologist in Surprise, Arizona. Qualified in 2015, 11 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
11
Licensed in
AZ, CA
In the registry since
2011
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

13995 W Statler Blvd Ste 200
Surprise, AZ 85374-5503
Phone: (623) 478-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9780 S Estrella Pkwy, Goodyear, AZ 85338-7114 — (623) 474-8101

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY005314 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY29146 (CA)

Record details

NPI number1790065282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 28, 2011
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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