Bobie Lynn Stallcup, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22235 Issued in CA

Practice address

24900 Highway 202
Tehachapi, CA 93561-5558

Phone

(661) 822-4402

Fax

(661) 823-3362

NPI assigned

Jun 23, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• California Department of Correction/ Rehabilitation

  • Prison Health Clinic/Center
  • Tehachapi, CA
  • NPI 1699027730
  NPD (past)
• Corrections and Rehabilitation-Headquarters

  • Pharmacy
  • Tehachapi, CA
  • NPI 1750916565
  NPD (past)

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1487940839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 HIGHWAY 202",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935615558",
            "telephone_number": "661-822-4402",
            "fax_number": "661-823-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 HIGHWAY 202",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935615558",
            "telephone_number": "661-822-4402",
            "fax_number": "661-823-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLCUP",
        "first_name": "BOBIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daily Miguelina Soto Santana, STUDENT
• Sottile Chiropractic
• Danielle N Sottile, D.C.
• Deborah Anne Spaine, PHD
• SRS - Tehachapi LLC
• Stallion Springs Medical Services a Medical Corporation
• Laurie Michelle Stamps, MFT
• Jennifer Stanley
• Christine Stark
• Tricia Starnes, ASW

• Clinical Psychologist in Tehachapi, CA
• Providers in Tehachapi, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.