STACY LEIGH THACKER PHD
NPI 1407808231
Psychologist - Forensic in Atascadero, CA
NPI Status: Active since May 17, 2006
Contact Information
10333 EL CAMINO REAL
ATASCADERO, CA
ZIP 93423
Phone: (805) 468-2000
Fax: (805) 466-6011
- Individual
- Female
- Psychologist
- Forensic
About STACY THACKER
This page provides the complete NPI Profile along with additional information for Stacy Thacker, a provider established in Atascadero, California with a medical specialization in Psychologist, focusing in forensic . The healthcare provider is registered in the NPI registry with number 1407808231 assigned on May 2006. The practitioner's primary taxonomy code is 103TF0200X with license number PSY16323 (GA). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1407808231
- Provider Name
- STACY LEIGH THACKER PHD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10333 EL CAMINO REAL ATASCADERO, CA 93423
- Location Phone
- (805) 468-2000
- Location Fax
- (805) 466-6011
- Mailing Address
- 1600 9TH ST ROOM 205 MAILSTOP 2-3 SACRAMENTO, CA 95814
- Mailing Phone
- (916) 654-2431
- Mailing Fax
- (805) 466-6011
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-17-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Forensic
- Taxonomy Code
- 103TF0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- PSY16323
- License State
- GA
- Taxonomy Description
- A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0PL163230 | MEDICARE ID-TYPE UNSPECIFIED (04) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 8 | 0 | 8 | 2 | 3 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 16 | 0 | 16 | 2 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 1 + 6 + 0 + 1 + 6 + 2 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1407808231 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1598717043 | HANI SAMUEL BOUTROS MD Individual | Family Medicine | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1003868555 | JEFFREY FRANZ TEUBER PHD Individual | Psychologist (Cognitive & Behavioral) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1124070396 | LEV IOFIS MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1043262504 | EMILY ROSTEN PHD Individual | Psychologist (Clinical) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1073565206 | JAN MARIE ALARCON PHD Individual | Psychologist | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1336191576 | MATTHEW THOMAS HENNESSY PSYD Individual | Psychologist (Cognitive & Behavioral) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1881646024 | THOMAS ALLAN COMAR FNP Individual | Nurse Practitioner (Family) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1558313791 | ROGER WUNDERLICH MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1922050178 | DAVID KARL FENNELL MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1063464220 | HADLEY CHARLES OSRAN MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1053363218 | MICHAELA CHRISTINE HEINZE PHD Individual | Psychologist (Clinical) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1720030992 | ARACELI VALDEZ LARDIZABAL MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1710939988 | WILLARD MARTIN TOWLE MD Individual | Emergency Medicine | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1346292513 | RONALD KARL STAIB MD Individual | Family Medicine | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1871545616 | WILLIAM CHARLES LYKES MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1104878842 | MICHAEL HENRY LISIAK MD Individual | Psychiatry & Neurology (Forensic Psychiatry) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1184676918 | MARIE LOUISE TUOHEY-MOTE FNP Individual | Nurse Practitioner (Family) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1073565818 | ALBERT S ABDEL-MALEK MD Individual | Internal Medicine | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1275585051 | MICHAEL FRANCIS PRITCHARD PHD Individual | Psychologist (Clinical) | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
| 1407808280 | CHARLES P BRODERICK PHD Individual | Clinical Neuropsychologist | 10333 EL CAMINO REAL ATASCADERO, CA 93423 (805) 468-2000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407808231, enumerated in the NPI registry as an "individual" on May 17, 2006
The provider is located at 10333 El Camino Real Atascadero, Ca 93423 and the phone number is (805) 468-2000
The provider's speciality is Psychologist with taxonomy code 103TF0200X with a focus in Forensic
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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