STACEY W FIELDS PSYD - NPI 1003794298 - Psychologist in San Diego, CA

Q: What is Stacey Fields's NPI number?

The NPI number for Stacey Fields is 1003794298. It was assigned to this individual provider in the NPPES registry on August 25, 2025.

Q: What is Stacey Fields's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Stacey Fields enrolled in Medicare?

No. Stacey Fields has opted out of Medicare through September 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Stacey Fields was last updated on August 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacey W Fields Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACEY W FIELDS PSYD (NPI 1003794298) is an individual clinical provider in San Diego, California, licensed in California (35975) and active in the NPI registry since August 2025. She has opted out of Medicare through September 10, 2027.

NPPES Registry Identity

NPI1003794298

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSTACEY W FIELDSCredential: PSYD

Location Address5252 BALBOA AVE STE 803San Diego, CA 92117-6920

Mailing Address5252 Balboa Ave Ste 803San Diego, CA 92117-6920

Phone(619) 786-0051

Sole ProprietorNo

Enumeration DateAugust 25, 2025

NPPES CertifiedAugust 25, 2025

✔ NPI 1003794298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 35975

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

5252 BALBOA AVE STE 803, San Diego, CA 92117

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Stacey W Fields Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 10, 2025 through September 10, 2027.

Opt-Out Effective DateSeptember 10, 2025

Opt-Out In Effect ThroughSeptember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA ROSENGREN PSYCHOLOGIST, INC.

Psychologist (Addiction (Substance Use Disorder))