Stacy Taniguchi, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28816 Issued in CA

Practice address

2000 Hearst Ave Ste 207
Berkeley, CA 94709

Phone

(415) 779-0905

NPI assigned

Dec 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1750825154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HEARST AVE STE 207",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HEARST AVE STE 207",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "94709",
            "telephone_number": "415-779-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "STACY",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gordon Tang, M.D.
• Jiaqi Tang
• Melissa Tang, M.D.
• Nadine Tang, MSW
• Joseph Peter Tangorra, PSY.D.
• Laila Rania Tannura, NP
• Justin Surachai Tanyavutti, LPCC
• Tao to Wellness Acupuncture Inc
• Tara Prema
• Max Tarcher

• Clinical Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.