Stacey Rene McLaren

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

232 E Gish Rd
San Jose, CA 95112-4706

Phone

(408) 876-4193

Fax

(408) 876-4230

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1679646855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 BLOSSOMVIEW DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181602",
            "telephone_number": "408-266-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E GISH RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124706",
            "telephone_number": "408-876-4193",
            "fax_number": "408-876-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "STACEY",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4582",
            "identifier": "COUNTY I.D.",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryssa McKenzie, BCBA
• Sean James McKenzie
• Mitchell McKinley
• Sandra McKinney, RN
• Kevin McKinnon
• Kerry McLaughlin, CADC-II
• Alexsis Fiona McLaurin
• Yessica Islas McLenegan, LMFT
• Douglas McLin, L.C.S.W.
• Kerry McMahan

• Rehabilitation Practitioner in San Jose, CA
• Providers in San Jose, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.

Verify at the official NPI Registry.