Individual provider Active NPI

Stacey J. Ahrons, PHD

  • Psychologist
  • Sacramento, CA
National Provider Identifier
1245319649
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY11964 Issued in CA
Practice address
3160 Folsom Blvd
Sacramento, CA 95816-5219
Phone
(916) 733-3333
NPI assigned
Nov 4, 2006
Last updated
Dec 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY11964 CA Primary

Addresses

Primary practice location

3160 Folsom Blvd
Sacramento, CA 95816-5219

Mailing address

6556 Lonetree Blvd Ste 104
Rocklin, CA 95765-6008
Phone (530) 320-1490

Other practice location 1

6556 Lonetree Blvd Ste 104
Rocklin, CA 95765-6008
Phone (530) 320-1490

Other identifiers 8

IdentifierTypeStateIssuer
MCMG379200OtherCAWESTERN HEALTH ADVANTAGE
000810823283OtherCAPHCS
2277400OtherCAPACIFICARE
257705OtherCAINTERPLAN
7504366OtherCAAETNA
5717744OtherCAFIRST HEALTH
1851337OtherCAGREAT WEST
PSY11964OtherCABLUE CROSS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050203000922 CA Practitioner - Clinical Psychologist 3476504713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4322
Phone (916) 924-6400

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY11964CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation CurrentSince Dec 3, 2004 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Dec 3, 2004 Accepting new patients

Locations

6555 Coyle Ave
Carmichael, CA 95608
Phone (916) 536-2500

8001 Madison Ave
Citrus Hts, CA 95610
Phone (916) 536-2420

7911 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3950

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

550 W Ranch View Dr
Ste 3000
Rocklin, CA 95765
Phone (916) 409-1400

2110 Professional Dr
Ste 120
Roseville, CA 95661
Phone (916) 536-2500

1792 Tribute Rd
Ste 350
Sacramento, CA 95815

3160 Folsom Blvd
Sacramento, CA 95816
Phone (916) 733-5336

4400 Duckhorn Dr
Ste 100
Sacramento, CA 95834
Phone (916) 575-8000

8120 Timberlake Way
Ste 109
Sacramento, CA 95823
Phone (916) 681-6000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1245319649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 LONETREE BLVD STE 104",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957656008",
            "telephone_number": "530-320-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165219",
            "telephone_number": "916-733-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6556 Lonetree Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Rocklin",
            "state": "CA",
            "postal_code": "957656008",
            "country_code": "US",
            "telephone_number": "530-320-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHRONS",
        "first_name": "STACEY",
        "middle_name": "J.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY11964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WESTERN HEALTH ADVANTAGE",
            "identifier": "MCMG379200",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "000810823283",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "2277400",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERPLAN",
            "identifier": "257705",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7504366",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5717744",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "1851337",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "PSY11964",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.