Individual provider Active NPI

Sharon Elizabeth Tucker, PH.D.

  • Clinical Psychologist
  • San Marcos, CA
National Provider Identifier
1760665053
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20349 Issued in CA
Practice address
310 S Twin Oaks Valley Rd # 324
San Marcos, CA 92078-4303
Phone
(818) 723-4194
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 PSY20349 CA Primary

Addresses

Primary practice location

310 S Twin Oaks Valley Rd # 324
San Marcos, CA 92078-4303

Mailing address

310 S Twin Oaks Valley Rd # 324
San Marcos, CA 92078-4303
Phone (818) 723-4194

Other practice location 1

8351 Broadway
Lemon Grove, CA 91945-2009
Phone (619) 722-0014

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
I20260320001055 CA Practitioner - Clinical Psychologist 7719461425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Psychology Services PCGroup PAC ID 6204155187, 19 clinicians

Practice addresses (Care Compare)

8351 Broadway
Lemon Grove, CA 91945-2009
Phone (619) 463-0294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY20349CAMDClinical Psychologist

Organizations & group practices 1

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": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1760665053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S TWIN OAKS VALLEY RD # 324",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784303",
            "telephone_number": "818-723-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S TWIN OAKS VALLEY RD # 324",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784303",
            "telephone_number": "818-723-4194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8351 Broadway",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919452009",
            "country_code": "US",
            "telephone_number": "619-722-0014",
            "fax_number": "619-327-4174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "SHARON",
        "middle_name": "ELIZABETH",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.