Active NPI
Stacy Bemis, PSYD
- Clinical Psychologist
- Anaheim, CA
National Provider Identifier
1841803764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33634
- Practice address
- 1950 W Corporate Way # 24095
Anaheim, CA 92801-5373 - Phone
- (949) 229-5113
- NPI assigned
- Aug 29, 2020
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33634 | CA | Primary |
Addresses
Primary practice location
1950 W Corporate Way # 24095
Anaheim, CA 92801-5373
Mailing address
1950 W Corporate Way # 24095
Anaheim, CA 92801-5373
Phone (949) 229-5113
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 |
|---|---|---|---|
| 33634 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1841803764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 W CORPORATE WAY # 24095",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015373",
"telephone_number": "949-229-5113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 W CORPORATE WAY # 24095",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928015373",
"telephone_number": "949-229-5113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEMIS",
"first_name": "STACY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-29",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "33634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.