Active NPI
Stephen Daniel Sprinkle, PH.D.
- Clinical Psychologist
- La Jolla, CA
National Provider Identifier
1023543527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 21849
- Practice address
- 3252 Holiday CT Ste 201
La Jolla, CA 92037-1808 - Phone
- (858) 349-6576
- Fax
- (858) 777-9609
- NPI assigned
- Apr 22, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 21849 | CA | Primary |
Addresses
Primary practice location
3252 Holiday CT Ste 201
La Jolla, CA 92037-1808
Mailing address
12468 Carmel Pointe
San Diego, CA 92130-2268
Phone (858) 349-6576
Other practice location 1
8950 Villa La Jolla Dr Ste A218
LA Jolla, CA 92037-1711
Phone (858) 349-6576
Other names 1
- Steve Sprinkle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 28, 2023 through Apr 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21849 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1023543527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12468 CARMEL POINTE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921302268",
"telephone_number": "858-349-6576",
"fax_number": "858-777-9609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3252 HOLIDAY CT STE 201",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371808",
"telephone_number": "858-349-6576",
"fax_number": "858-777-9609"
}
],
"practiceLocations": [
{
"address_1": "8950 Villa La Jolla Dr Ste A218",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371711",
"country_code": "US",
"telephone_number": "858-349-6576",
"fax_number": "858-777-9609",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRINKLE",
"first_name": "STEPHEN",
"middle_name": "DANIEL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-22",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVE",
"last_name": "SPRINKLE",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.