Individual provider Active NPI

Stacy Springmeyer, PSYD

  • Clinical Psychologist
  • Lakewood, CA
National Provider Identifier
1689924201
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27996 Issued in CA
Practice address
4060 Watson Plaza Dr
Lakewood, CA 90712-4033
Phone
(562) 497-3750
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27996 CA Primary

Addresses

Primary practice location

4060 Watson Plaza Dr
Lakewood, CA 90712-4033

Mailing address

4060 Watson Plaza Dr
Lakewood, CA 90712-4033
Phone (562) 497-3750

Other practice location 1

441 Bauchet St
Room 1017
Los Angeles, CA 90012-2906
Phone (213) 974-9083

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY27996CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1689924201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "562-497-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WATSON PLAZA DR",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907124033",
            "telephone_number": "562-497-3750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "441 Bauchet St",
            "address_2": "Room 1017",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900122906",
            "country_code": "US",
            "telephone_number": "213-974-9083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRINGMEYER",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.