Sunrise Psychological Services, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUNRISE PSYCHOLOGICAL SERVICES, PC

Doing business as

Sunrise Counseling Group
Surnise Psychological Services

Practice address

729 Sunrise Ave Ste 101
Roseville, CA 95661-4504

Phone

(916) 782-3800

Fax

(916) 782-3820

NPI assigned

Oct 10, 2019

Last updated

Oct 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Gary McClure, PH.D.NPI 1811061864

Title

President/Owner

Phone

(916) 782-3800

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 2

• Sunrise Counseling Group Doing business as
• Surnise Psychological Services Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

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.

• Stephen Gary McClure, PH.D.

  • Clinical Psychologist
  • Roseville, CA
  • NPI 1811061864
  Medicare reassignment NPD Authorized official
• Sherrill Douglass-Smith

  • Marriage & Family Therapist
  • Roseville, CA
  • NPI 1356676258
  NPD (past)
• Diane J Huisinga, PH.D.

  • Psychologist
  • Roseville, CA
  • NPI 1033295456
  NPD (past)
• Jessica Joyce, M.A.

  • Clinical Psychologist
  • Bluffton, SC
  • NPI 1023204377
  NPD (past)

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1891337820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614504",
            "telephone_number": "916-782-3800",
            "fax_number": "916-782-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SUNRISE AVE STE 101",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614504",
            "telephone_number": "916-782-3800",
            "fax_number": "916-782-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "916-782-3800",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386313252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811061864",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932457493",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124103346",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720471766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Surnise Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sruthi Sundaram, MD
• Chan Mi Sung, FNP-BC
• Sunrise Couriers Inc
• Sunrise Medical Pharmacy
• Sunrise Psychological Services
• Sunshine Audiology, Inc.
• Sunshine Sands LLC (Roseville Recovery Center)
• Califia Suntree, MS, RDN
• Ila Suplizio, DPT
• Support Spirit Counseling & Therapy

• Clinical Psychologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.