Individual provider Active NPI

Daryl Sparks, PSY.D.

  • Clinical Psychologist
  • Prescott, AZ
National Provider Identifier
1194265199
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33870 Issued in CA
Practice address
1042 Willow Creek Rd Ste A101
Prescott, AZ 86301-1672
Phone
(734) 926-5667
NPI assigned
Feb 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 94024833 CA
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY-006005 AZ
Clinical Psychologist 103TC0700X 33870 CA Primary

Addresses

Primary practice location

1042 Willow Creek Rd Ste A101
Prescott, AZ 86301-1672

Mailing address

1042 Willow Creek Rd Ste A101
Prescott, AZ 86301-1672
Phone (734) 926-5667

Other practice location 1

23141 Moulton Pkwy Ste 207
Laguna Hills, CA 92653-1204
Phone (734) 926-5667

Other names 1

  • Dr. Daryl Sparks Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY-006005AZMDPsychologist
94024833CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Recovery Centers LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

23141 Moulton Pkwy
Ste 207
Laguna Hills, CA 92653
Phone (734) 926-5667

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": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1194265199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD STE A101",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011672",
            "telephone_number": "734-926-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1042 WILLOW CREEK RD STE A101",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011672",
            "telephone_number": "734-926-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23141 Moulton Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531204",
            "country_code": "US",
            "telephone_number": "734-926-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "DARYL",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "94024833",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-006005",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARYL",
            "last_name": "SPARKS",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.