Individual provider Active NPI

Stacey Touhy, PSY.D.

  • Psychologist
  • Fairchild Air Force Base, WA
National Provider Identifier
1881820306
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27092 Issued in CA
Practice address
701 Hospital Loop
Fairchild Air Force Base, WA 99011
Phone
(509) 247-2731
NPI assigned
Jun 10, 2009
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY27092 CA Primary

Addresses

Primary practice location

701 Hospital Loop
Fairchild Air Force Base, WA 99011

Mailing address

2052 N Lark PL
Meridian, ID 83646-3326
Phone (805) 267-6718

Other practice location 1

3785 Via Nona Marie Ste 203A
Carmel, CA 93923-8637
Phone (805) 267-6718

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27092CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psyched Psychological Services, Inc. CurrentSince Dec 6, 2020 Accepting new patients

Locations

3785 Via Nona Marie
Ste 203A
Carmel, CA 93923
Phone (805) 267-6718

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1881820306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 N LARK PL",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463326",
            "telephone_number": "805-267-6718",
            "fax_number": "805-850-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP",
            "city": "FAIRCHILD AIR FORCE BASE",
            "state": "WA",
            "postal_code": "99011",
            "telephone_number": "509-247-2731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3785 Via Nona Marie Ste 203A",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "CA",
            "postal_code": "939238637",
            "country_code": "US",
            "telephone_number": "805-267-6718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOUHY",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairchild Air Force Base, WA

Sources for this page

Verify at the official NPI Registry.