Cynthia Acks-Stewart
Individual provider Active NPI Psychologist · Sebastopol, CA
NPI 1205966728 · NPPES record last updated May 5, 2023
Key facts
- NPI
- 1205966728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 435 Petaluma Ave Ste 136
Sebastopol, CA 95472 - Phone
- (707) 387-0245
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
435 Petaluma Ave
Suite 136
Sebastopol, CA 95472-4273
Phone (707) 387-0245
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230807002194 | CA | Practitioner - Clinical Psychologist | 3274994207 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27309 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synde Acks, Psy.D, Professional Inc. | Current |
Accepting new patients |
Locations
435 Petaluma Ave
Ste 136
Sebastopol, CA 95472
Phone (707) 387-0245
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 27309 | CA | |
| Psychologist | 103T00000X | CA | Yes |
Addresses
Primary practice location
435 Petaluma Ave Ste 136
Sebastopol, CA 95472
Mailing address
8801 Marianna Dr
Forestville, CA 95436-9267
Phone (170) 788-7755
Other practice location 1
8801 Marianna Dr
Forestville, CA 95436-9267
Phone (170) 788-7755
Other practice location 2
1800 Gravenstein Hwy N
Sebastopol, CA 95472-2607
Phone (707) 823-7300 ext. 226
Other providers in Sebastopol, CA
- A.V.C.H., Inc.
- Daniella Adi Aboody
- Elizabeth Abrams
- Reem Abu-Baker
- Access Bridges LLC
- Judith S. Adler
- Advanced Skin Care and Dermatology Physicians of Northern California,
- Angela Agenlian-Neuert
- Brooke (Ananda) Veronica Ahearn
- Erika Alexander
All providers in Sebastopol, CA · Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.