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STACEY PINNEKE
NPI 1407526098
Psychoanalyst in San Jose, CA

Active since September 15, 2021PECOS Enrolled
950 S BASCOM AVE STE 2010, SAN JOSE, CA 95128(408) 675-6083 Get Directions Write a Review

NPPES record last updated: September 15, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stacey Pinneke NPPES

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

STACEY PINNEKE (NPI 1407526098) is an individual psychoanalyst provider in San Jose, California and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Gatos.

NPPES Registry Identity

NPI1407526098
Entity TypeIndividualFemale
Primary Taxonomy102L00000X
Provider Legal NameSTACEY PINNEKE
Location Address950 S BASCOM AVE STE 2010San Jose, CA 95128-3538
Mailing Address515 Blossom Hill Rd Apt 46Los Gatos, CA 95032-4530 · (408) 710-8118
Phone(408) 675-6083
Sole ProprietorYes
Enumeration DateSeptember 15, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1407526098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychoanalystBehavioral Health & Social Service Providers
Taxonomy Code102L00000X
Definition
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
950 S BASCOM AVE STE 2010, San Jose, CA 95128
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Secondary Practice Location 1

Location 1319 Los Gatos Saratoga RdLos Gatos, CA 95030-5310 · Phone (408) 389-5505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Pinneke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacey Pinneke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
3.4 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

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

COURTNEY STRAND
Specialist/Technologist, Other
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
SCOTT BLANTON PHD
Psychologist
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
MARISSA NALANI DEAN
Counselor (Mental Health)
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
MS. KAYLA MARIE WILLIAMS
Marriage & Family Therapist
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (530) 891-2775
RACHEL S CONNETT AMFT, APCC
Counselor (Mental Health)
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
JUDITH MAE STOUT LMFT
Marriage & Family Therapist
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
JADE THI TRUONG
Specialist/Technologist, Other
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222
NUGENT FAMILY COUNSELING CENTER INC
Marriage & Family Therapist
950 S BASCOM AVE STE 2010
SAN JOSE, CA 95128
Santa Clara County (408) 341-9222

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 Stacey Pinneke's NPI number?

The NPI number for Stacey Pinneke is 1407526098. It was assigned to this individual provider in the NPPES registry on September 15, 2021.

Where is Stacey Pinneke located?

Stacey Pinneke practices at 950 S Bascom Ave Ste 2010, San Jose, CA 95128. The listed phone number is (408) 675-6083.

What is Stacey Pinneke's specialty?

The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.

Is Stacey Pinneke enrolled in Medicare?

Yes. Stacey Pinneke is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacey Pinneke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Pinneke reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Pinneke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacey Pinneke was last updated on September 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.