Healthcare Provider Details

I. General information

NPI: 1356262141
Provider Name (Legal Business Name): CLARITY PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 W 6TH ST APT 1703
TEMPE AZ
85281-5791
US

IV. Provider business mailing address

111 W 6TH ST APT 1703
TEMPE AZ
85281-5791
US

V. Phone/Fax

Practice location:
  • Phone: 602-770-3039
  • Fax:
Mailing address:
  • Phone: 602-770-3039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: STACY STOJAKOVIC
Title or Position: PROVIDER/SOLE PROPRIETOR
Credential: PA-C, CAQ-PSYCHIATRY
Phone: 602-770-3039