Stacy Lynn Hutton, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

212 S Main St Ste 202
Templeton, CA 93465-9350

Phone

(805) 369-2239

NPI assigned

Sep 16, 2013

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

SH Squared CaresGroup PAC ID 8123373321, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• SH Squared Cares

  • Clinical Psychologist
  • Templeton, CA
  • NPI 1245720960
  Medicare reassignment Care Compare group NPD Authorized official
• Masood Moghaddam

  • Clinical Social Worker
  • Atascadero, CA
  • NPI 1114553344
  NPD (past)

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1952737488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659350",
            "telephone_number": "805-369-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659350",
            "telephone_number": "805-369-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph R Horne, O.D.
• Hospitalist Medicine Physicians of San Luis Obispo County, Inc
• Trevor Patrick Houston, D.O.
• Lindsay Humphreys, RNFA
• Kristine Hunter, MD
• Ronald Eugene Huxley Jr.
• Imgrx Slo, Inc. (CHC Templeton Pharmacy)
• Injury and Wellness Medical Group, Inc.
• Inpatient Services of California, a Medical Corporation
• Keiko Ishikawa, L.AC

• Counseling Psychologist in Templeton, CA
• Providers in Templeton, CA by specialty
• Counseling Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.