Individual provider Active NPI

Stephanie Espinoza, PSY.D.

  • Clinical Psychologist
  • Sacramento, CA
National Provider Identifier
1760806533
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY36110 Issued in CA
Practice address
1412 S St Ste 100
Sacramento, CA 95811-7155
Phone
(916) 717-9379
NPI assigned
Feb 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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 PSY36110 CA Primary

Addresses

Primary practice location

1412 S St Ste 100
Sacramento, CA 95811-7155

Mailing address

1412 S St Ste 100
Sacramento, CA 95811-7155
Phone (916) 717-9379

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
PSY36110CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Center for Psychology, Inc. Clinical CurrentSince Oct 11, 2020 Accepting new patients

Locations

1412 S St
Ste 100
Sacramento, CA 95811
Phone (916) 616-8561

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": "1392249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1760806533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 S ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117155",
            "telephone_number": "916-717-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 S ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958117155",
            "telephone_number": "916-717-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-13",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY36110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.