Healthcare Provider Details

I. General information

NPI: 1568995876
Provider Name (Legal Business Name): STEFANIE HANDRICK BRICHTA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: STEFANIE LYNN HANDRICK

II. Dates (important events)

Enumeration Date: 04/04/2017
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 W SEED FARM RD
SACATON AZ
85147-5000
US

IV. Provider business mailing address

483 W SEED FARM RD
SACATON AZ
85147-5000
US

V. Phone/Fax

Practice location:
  • Phone: 602-528-7100
  • Fax: 602-528-1374
Mailing address:
  • Phone: 602-528-7100
  • Fax: 602-528-1374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number61755
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: