Active NPI
Claire Marie Reclosado-Baclay, PSYD
- Clinical Psychologist
- Benicia, CA
National Provider Identifier
1316333602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY31428
- Practice address
- 701 Southampton Rd Ste 208
Benicia, CA 94510-2076 - Phone
- (510) 255-1278
- NPI assigned
- Apr 13, 2015
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Psychologist | 103T00000X | PSY31428 | CA | |
| Exercise & Sports Psychologist | 103TE1100X | |||
| Clinical Psychologist | 103TC0700X | PSY31428 | CA | Primary |
Addresses
Primary practice location
701 Southampton Rd Ste 208
Benicia, CA 94510-2076
Mailing address
164 Robles Way # 292
Vallejo, CA 94591-8039
Phone (510) 255-1278
Other practice location 1
100 Ellinwood Way
Pleasant Hill, CA 94523-4817
Phone (510) 761-8320
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY31428 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1316333602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 ROBLES WAY # 292",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945918039",
"telephone_number": "510-255-1278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 SOUTHAMPTON RD STE 208",
"city": "BENICIA",
"state": "CA",
"postal_code": "945102076",
"telephone_number": "510-255-1278"
}
],
"practiceLocations": [
{
"address_1": "100 Ellinwood Way",
"address_purpose": "LOCATION",
"city": "Pleasant Hill",
"state": "CA",
"postal_code": "945234817",
"country_code": "US",
"telephone_number": "510-761-8320",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RECLOSADO-BACLAY",
"first_name": "CLAIRE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-13",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY31428",
"primary": false
},
{
"code": "103TE1100X",
"taxonomy_group": "",
"desc": "Psychologist, Exercise & Sports",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY31428",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "1761 Broadway",
"city": "Vallejo",
"state": "CA",
"country_code": "US",
"postal_code": "94589",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.