Organization Active NPI

Woods Creek Psychological Group, Apc

  • Psychologist
  • Sonora, CA
National Provider Identifier
1861851503
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23349 Issued in CA
Legal business name
WOODS CREEK PSYCHOLOGICAL GROUP, APC
Practice address
99 S Forest Rd
Sonora, CA 95370-4816
Phone
(209) 533-1699
Fax
(209) 532-7917
NPI assigned
Feb 22, 2016
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Susan Belle Day, PHDNPI 1336463777
Title
Ceo
Phone
(209) 533-1699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23349 CA Primary

Addresses

Primary practice location

99 S Forest Rd
Sonora, CA 95370-4816

Mailing address

99 S Forest Rd
Sonora, CA 95370-4816
Phone (209) 533-1699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160421002232 CA Part B Supplier - Clinic/Group Practice 7618276825 Receives reassigned benefits from 3 practitioners
Practice locations: Sonora, CA

National Provider Directory

National Provider Directory

Locations

103 S Forest Rd
Sonora, CA 95370
Phone (209) 532-7005

99 S Forest Rd
Sonora, CA 95370
Phone (209) 532-6294

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1861851503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 S FOREST RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704816",
            "telephone_number": "209-533-1699",
            "fax_number": "209-532-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 S FOREST RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704816",
            "telephone_number": "209-533-1699",
            "fax_number": "209-532-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODS CREEK PSYCHOLOGICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "BELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-533-1699",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.