Dr Michael Lee Stanfill, PHD - Psychologist in San Diego, CA

Dr Michael Lee Stanfill, PHD is a Psychologist - Clinical based in San Diego, California. Dr Michael Lee Stanfill is licensed to practice in Washington (license number PY60273012) and his current practice location is 11878 Avenue Of Industry, San Diego, California. He can be reached at his office (for appointments etc.) via phone at (858) 675-4200.

NPI number for Dr Michael Lee Stanfill is 1487835203 and his current mailing address is 4461 Park Blvd, #4, San Diego, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487835203.

Contact Information

Dr Michael Lee Stanfill, PHD
11878 Avenue Of Industry,
San Diego, CA 92128-3423
(858) 675-4200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael Lee Stanfill
GenderMale
SpecialityPsychologist - Clinical
Location11878 Avenue Of Industry, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487835203
  • Provider Enumeration Date: 11/20/2007
  • Last Update Date: 07/25/2012

Medical Identifiers

Medical identifiers for Dr Michael Lee Stanfill such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487835203NPI-NPPES
PY60273012OtherWAPSYCHOLOGY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY60273012 (Washington)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) PY60273012 (Washington)Secondary
103TC0700XPsychologist - Clinical PY60273012 (Washington)Primary
103TC2200XPsychologist - Clinical Child & Adolescent PY60273012 (Washington)Secondary
103TB0200XPsychologist - Cognitive & Behavioral PY60273012 (Washington)Secondary
103TF0200XPsychologist - Forensic PY60273012 (Washington)Secondary
103TP2701XPsychologist - Group Psychotherapy PY60273012 (Washington)Secondary
103TH0100XPsychologist - Health Service PY60273012 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Lee Stanfill is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael Lee Stanfill, PHD
4461 Park Blvd, #4,
San Diego, CA 92116-4098

Ph: (480) 206-8425
Dr Michael Lee Stanfill, PHD
11878 Avenue Of Industry,
San Diego, CA 92128-3423

Ph: (858) 675-4200

Reviews and Comments


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