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STEPHANIE RENEE TICKEMYER
NPI 1083506026
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since July 16, 2025
7707 AUSTIN RD, STOCKTON, CA 95215(951) 312-1688 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Renee Tickemyer NPPES

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

STEPHANIE RENEE TICKEMYER (NPI 1083506026) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1083506026
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE RENEE TICKEMYER
Location Address7707 AUSTIN RDStockton, CA 95215-8312
Mailing Address1154 Fairway Oaks AveBanning, CA 92220-6411 · (951) 312-1688
Phone(951) 312-1688
Sole ProprietorNo
Enumeration DateJuly 16, 2025
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1083506026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7707 AUSTIN RD, Stockton, CA 95215
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Other Providers at the Same Location NPPES 20

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

NICOLE TAKLA PSYD
Psychologist (Clinical)
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-4398
DR. KANGHO ANG
Student in an Organized Health Care Education/Training Program
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-8546
VIKRAM MALHOTRA MD
Psychiatry & Neurology (Psychiatry)
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-1494
DR. JODIE N PEREZ PSYD
Psychologist (Clinical)
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (925) 381-7887
KRISTIN SAVOY
Psychologist
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-2500
LACHARONDA TAYLOR LCSW
Social Worker (Clinical)
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-2500
MR. BRIAN LEE BARKER LCSW
Social Worker (Clinical)
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-1773
GABRIEL SORIN WILLIAMS MD
Physical Medicine & Rehabilitation
7707 AUSTIN RD
STOCKTON, CA 95215
San Joaquin County (209) 467-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Tickemyer's NPI number?

The NPI number for Stephanie Tickemyer is 1083506026. It was assigned to this individual provider in the NPPES registry on July 16, 2025.

Where is Stephanie Tickemyer located?

Stephanie Tickemyer practices at 7707 Austin Rd, Stockton, CA 95215. The listed phone number is (951) 312-1688.

What is Stephanie Tickemyer's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Stephanie Tickemyer was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.