Individual provider Active NPI

Stacy Ann C. Aquipel, PSY.D

  • Clinical Psychologist
  • San Diego, CA
National Provider Identifier
1740733237
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28518 Issued in CA
Practice address
3990 Old Town Ave Ste C303
San Diego, CA 92110-2932
Phone
(858) 964-0722
Fax
(866) 437-0375
NPI assigned
Aug 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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 PSY28518 CA Primary

Addresses

Primary practice location

3990 Old Town Ave Ste C303
San Diego, CA 92110-2932

Mailing address

3990 Old Town Ave Ste C303
San Diego, CA 92110-2932
Phone (858) 964-0722

Other identifiers 1

IdentifierTypeStateIssuer
CB27382OtherCAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831002771 CA Practitioner - Clinical Psychologist 4486940376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Neurobehavioral Clinic IncGroup PAC ID 9234454422, 9 clinicians

Practice addresses (Care Compare)

San Diego, CA 92126
Phone (702) 326-7627

3990 Old Town Ave
Suite C303
San Diego, CA 92110-2932
Phone (858) 964-0722

Merit-based Incentive Payment System (MIPS)

Final score
18.72 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
62.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY28518CAMDClinical Psychologist
28518CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calm & Ground Psychology PC Clinical CurrentSince Apr 15, 2025 Accepting new patients
Brian Wu MD PHD Inc CurrentSince Jul 1, 2021 Accepting new patients
Pacific Neurobehavioral Clinic: a Psychological Corporation CurrentSince Jan 19, 2020 Accepting new patients
Cognitive Care Solutions Inc CurrentSince Feb 1, 2017 Accepting new patients

Locations

1260 E Ohio Ave
Escondido, CA 92027
Phone (760) 746-1100

11835 W Olympic Blvd
Ste 1270E
Los Angeles, CA 90064
Phone (310) 273-4843

3990 Old Town Ave
Ste C303
San Diego, CA 92110
Phone (858) 964-0722

1901 1st Ave
Ste 245
San Diego, CA 92101
Phone (619) 232-2225

3636 4th Ave
Ste 310
San Diego, CA 92103
Phone (858) 964-0722

1526 Brookhollow Dr
Ste 73
Santa Ana, CA 92705
Phone (714) 545-3390

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1740733237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 OLD TOWN AVE STE C303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102932",
            "telephone_number": "858-964-0722",
            "fax_number": "866-437-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 OLD TOWN AVE STE C303",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102932",
            "telephone_number": "858-964-0722",
            "fax_number": "866-437-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUIPEL",
        "first_name": "STACY ANN",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-01",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB27382",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.