Active NPI
Kelly Elizabeth Steinbach, PSYD
- Psychologist
- Roseville, CA
National Provider Identifier
1154628857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29180
- Practice address
- 1891 E Roseville Pkwy Ste 120
Roseville, CA 95661-7974 - Phone
- (916) 765-4779
- NPI assigned
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 65954 | CA | |
| Clinical Psychologist | 103TC0700X | PSY29180 | CA | |
| Psychologist | 103T00000X | PSY29180 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X |
Addresses
Primary practice location
1891 E Roseville Pkwy Ste 120
Roseville, CA 95661-7974
Mailing address
1891 E Roseville Pkwy Ste 120
Roseville, CA 95661-7974
Phone (916) 765-4779
Other names 1
- Kelly Elizabeth Bauer Houghton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170901001755 | CA | Practitioner - Clinical Psychologist | 9234402835 | Practice locations: Roseville, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1891 E Roseville Pkwy
Suite 120
Roseville, CA 95661-7974
Phone (916) 765-4779
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29180 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Point Eye Care | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702857600000",
"number": "1154628857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1891 E ROSEVILLE PKWY STE 120",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617974",
"telephone_number": "916-765-4779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1891 E ROSEVILLE PKWY STE 120",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617974",
"telephone_number": "916-765-4779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEINBACH",
"first_name": "KELLY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2023-12-18",
"certification_date": "2023-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "65954",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29180",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29180",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELLY",
"last_name": "BAUER HOUGHTON",
"middle_name": "ELIZABETH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.