Active NPI
Marie De la Paz Sum, PSY.D.
- Clinical Child & Adolescent Psychologist
- Pleasanton, CA
National Provider Identifier
1396804399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- PSY20000
- Practice address
- 3825 Hopyard Rd
Suite 140
Pleasanton, CA 94588-8528 - Phone
- (925) 847-5102
- Fax
- (925) 847-5593
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY20000 | CA | Primary |
Addresses
Primary practice location
3825 Hopyard Rd
Suite 140
Pleasanton, CA 94588-8528
Mailing address
7601 Stoneridge Dr
Pleasanton, CA 94588-4501
Phone (925) 947-5102
Other names 1
- Dr. Marie De la Paz
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY20000 | CA | MD | Clinical Child & Adolescent Psychologist |
| 20000 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1396804399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 STONERIDGE DR",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884501",
"telephone_number": "925-947-5102",
"fax_number": "925-847-5593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HOPYARD RD",
"address_2": "SUITE 140",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945888528",
"telephone_number": "925-847-5102",
"fax_number": "925-847-5593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUM",
"first_name": "MARIE",
"middle_name": "DE LA PAZ",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY20000",
"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": "1400 Veterans Blvd",
"city": "Redwood City",
"state": "CA",
"country_code": "US",
"postal_code": "940632612",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARIE",
"last_name": "DE LA PAZ",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.