NPIMap

Organization Active NPI

An Elegant Sufficiency, a Psychological Corporation

  • Clinical Psychologist
  • Stockton, CA
National Provider Identifier
1427655810
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
AN ELEGANT SUFFICIENCY, A PSYCHOLOGICAL CORPORATION
Practice address
2431 W March LN Ste 200
Stockton, CA 95207-8211
Phone
(209) 200-8305
Fax
(209) 833-7800
NPI assigned
Oct 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Chad Raymond Cryder, PHDNPI 1699229005
Title
President
Phone
(408) 813-3030

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

2431 W March LN Ste 200
Stockton, CA 95207-8211

Mailing address

PO Box 7067
Stockton, CA 95267-0067
Phone (209) 200-8305

Other practice location 1

1101 Standiford Ave Ste B5
Modesto, CA 95350-0981
Phone (209) 200-8305

Other practice location 2

51 N Washington St
Sonora, CA 95370-4705
Phone (209) 200-8305

Other identifiers 1

IdentifierTypeStateIssuer
CA439632MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201215001348 CA Part B Supplier - Clinic/Group Practice 7315359445 Receives reassigned benefits from 29 practitioners
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

1101 Standiford Ave
Ste B5
Modesto, CA 95350
Phone (209) 200-8305

51 N Washington St
Sonora, CA 95370
Phone (209) 200-8305

5250 Claremont Ave
Ste 118
Stockton, CA 95207
Phone (209) 200-8305

5250 Claremont Ave
Ste 213
Stockton, CA 95207
Phone (209) 831-3132

2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305

35 E 10th St
Ste E3
Tracy, CA 95376
Phone (209) 831-3132

Practitioners & affiliated clinicians

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1427655810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7067",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670067",
            "telephone_number": "209-200-8305",
            "fax_number": "209-833-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W MARCH LN STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952078211",
            "telephone_number": "209-200-8305",
            "fax_number": "209-833-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Standiford Ave Ste B5",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953500981",
            "country_code": "US",
            "telephone_number": "209-200-8305",
            "fax_number": "209-833-7800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953704705",
            "country_code": "US",
            "telephone_number": "209-200-8305",
            "fax_number": "209-833-7800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AN ELEGANT SUFFICIENCY, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "CRYDER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-813-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA439632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.