Active NPI
Stephanie Nichole Souza, PSYD
- Psychologist
- Elk Grove, CA
National Provider Identifier
1700141512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY30660
- Practice address
- 8659 Heritage Hill Dr
Elk Grove, CA 95624-3943 - Phone
- (916) 668-0626
- NPI assigned
- Jul 8, 2012
- Last updated
- Jul 1, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY30660 | CA | Primary |
Addresses
Primary practice location
8659 Heritage Hill Dr
Elk Grove, CA 95624-3943
Mailing address
8633 Midfield Way
Sacramento, CA 95826-3622
Phone (916) 668-0626
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY30660 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Community Research Foundation Inc | Clinical | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Community/Behavioral Health Agency
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- NPI 1225251812
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1700141512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8633 MIDFIELD WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958263622",
"telephone_number": "916-668-0626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8659 HERITAGE HILL DR",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956243943",
"telephone_number": "916-668-0626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUZA",
"first_name": "STEPHANIE",
"middle_name": "NICHOLE",
"name_prefix": "Mrs.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-08",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY30660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.