Active NPI
Health Psychology Sacramento
- Clinic/Center
- Fair Oaks, CA
National Provider Identifier
1285747048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- PSY13576
- Legal business name
- HEALTH PSYCHOLOGY SACRAMENTO
- Practice address
- 4112 Pennsylvania Ave
Fair Oaks, CA 95628-7413 - Phone
- (916) 962-0222
- Fax
- (916) 962-7510
- NPI assigned
- Aug 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ursula R. Stehle, PHD
- Title
- Clinical Director
- Phone
- (916) 962-0222
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 13576 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT 37218 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT 47221 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT 50205 | CA | |
| Registered Nurse | 163W00000X | RN 427621 | CA | |
| Registered Nurse | 163W00000X | RN213291 | CA | |
| Clinic/Center | 261Q00000X | PSY13576 | CA | Primary |
Addresses
Primary practice location
4112 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Mailing address
4112 Pennsylvania Ave
Fair Oaks, CA 95628-7413
Phone (916) 962-0222
Other names 1
- Fair Oaks Therapeuticum
National Provider Directory
National Provider DirectoryLocations
4112 Pennsylvania Ave
Fair Oaks, CA 95628
Phone (916) 619-7744
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Fair Oaks, CA
- NPI 1316205867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359331200000",
"number": "1285747048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4112 PENNSYLVANIA AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287413",
"telephone_number": "916-962-0222",
"fax_number": "916-962-7510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4112 PENNSYLVANIA AVE",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287413",
"telephone_number": "916-962-0222",
"fax_number": "916-962-7510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH PSYCHOLOGY SACRAMENTO",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-16",
"last_updated": "2013-01-28",
"status": "A",
"authorized_official_last_name": "STEHLE",
"authorized_official_first_name": "URSULA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "916-962-0222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 13576",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 37218",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFT 47221",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT 50205",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN 427621",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN213291",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "CA",
"license": "PSY13576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fair Oaks Therapeuticum",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.