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Dr. Stacy Leigh Thacker , PhD

Psychologist - Forensic • Atascadero, CA

Active NPI 1407808231 Individual Practitioner Female Practitioner
Practice location in NPPES

10333 El Camino Real
Atascadero, CA 934237001

Call 8054682000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10333 El Camino Real

Atascadero, CA 934237001

Telephone 8054682000
Fax 8054666011
Organization at the Same NPPES Address or Phone
Department Of State Hospitals Facility NPI 1174573802

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Atascadero and California

6 active clinicians are listed under Psychologist - Forensic with a practice address in Atascadero, CA (257 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

License # reported to NPPES GA PSY16323

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

17 listed
Dr. Ajibade Adeladan , MD

Psychiatry & Neurology - Psychiatry

NPI 1013178763

Doctor of Medicine (M.D.)

Dr. Ali Akhavan , MD

Internal Medicine

NPI 1013943174

Doctor of Medicine (M.D.)

Dr. Joseph Cook , DO

Psychiatry & Neurology - Psychiatry

NPI 1114136850

Doctor of Osteopathic Medicine (D.O.)

Dr. Joshua Deane , MD

Psychiatry & Neurology - Psychiatry

NPI 1225080468

Doctor of Medicine (M.D.)

Dr. Haris Ghayur , MD

Psychiatry & Neurology - Psychiatry

NPI 1104575091

Doctor of Medicine (M.D.)

Dr. Jason Green , MD

Internal Medicine

NPI 1215000823

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 17, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1407808231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1600 9th St, Room 205 Mailstop 2-3

Sacramento, CA 958146414

Phone: 9166542431

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.