Individual provider Active NPI

Stacyann York, M.D.

  • Psychiatry Physician
  • Riverside, CA
National Provider Identifier
1508011701
Registry record updated Sep 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C157972 Issued in CA
Practice address
4095 County Circle Dr
Riverside, CA 92503-3410
Phone
(800) 706-7500
NPI assigned
Dec 2, 2008
Last updated
Sep 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036127796 IL
Psychiatry Physician 2084P0800X C157972 CA Primary
Child & Adolescent Psychiatry Physician 2084P0804X 036127796 IL
Child & Adolescent Psychiatry Physician 2084P0804X C157972 CA

Addresses

Primary practice location

4095 County Circle Dr
Riverside, CA 92503-3410

Mailing address

5500 Military TRL # 22-321
Jupiter, FL 33458-2869

Other practice location 1

1597 Baker St
Costa Mesa, CA 92626-3746
Phone (714) 435-7940

Other practice location 2

714 Morse Ave
Placentia, CA 92870-3504
Phone (714) 572-0175

Other practice location 3

250 Joann St
Costa Mesa, CA 92626-6455
Phone (949) 631-9045

Other practice location 4

3068 Johnson Ave
Costa Mesa, CA 92626-2819
Phone (714) 545-0644

Other practice location 5

7921 Kingswood Drive
1st floor office A4-1
Citrus Heights, CA 95610-7710
Phone (833) 351-8255

Other practice location 6

15405 Lansdowne Rd Ste C
Tustin, CA 92782-0201
Phone (714) 258-7710

Other practice location 7

118 Livingston Ave
Placentia, CA 92870-2546
Phone (714) 986-9451

Other practice location 8

101 N. Monroe Street
Suite 800 (private office 860)
Tallahassee, FL 32301-1500
Phone (833) 351-8255

Other practice location 9

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other practice location 10

15405 Lansdowne Rd Ste D
Tustin, CA 92782-0201
Phone (714) 258-7725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C157972CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1508011701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MILITARY TRL # 22-321",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334582869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 COUNTY CIRCLE DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033410",
            "telephone_number": "800-706-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1597 Baker St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926263746",
            "country_code": "US",
            "telephone_number": "714-435-7940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 Morse Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928703504",
            "country_code": "US",
            "telephone_number": "714-572-0175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Joann St",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926266455",
            "country_code": "US",
            "telephone_number": "949-631-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3068 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926262819",
            "country_code": "US",
            "telephone_number": "714-545-0644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7921 Kingswood Drive",
            "address_2": "1st floor office A4-1",
            "address_purpose": "LOCATION",
            "city": "Citrus Heights",
            "state": "CA",
            "postal_code": "956107710",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15405 Lansdowne Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927820201",
            "country_code": "US",
            "telephone_number": "714-258-7710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928702546",
            "country_code": "US",
            "telephone_number": "714-986-9451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N. Monroe Street",
            "address_2": "Suite 800 (private office 860)",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323011500",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "fax_number": "888-815-3583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15405 Lansdowne Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927820201",
            "country_code": "US",
            "telephone_number": "714-258-7725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "STACYANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2026-09-27",
        "certification_date": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036127796",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C157972",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036127796",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C157972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.