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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

STACY LEIGH THACKER PHD
NPI 1407808231
Psychologist - Forensic in Atascadero, CA

Active since May 17, 2006
10333 EL CAMINO REAL, ATASCADERO, CA 93423(805) 468-2000(805) 466-6011 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Leigh Thacker Phd NPPES

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

STACY LEIGH THACKER PHD (NPI 1407808231) is an individual forensic provider in Atascadero, California, licensed in Georgia (PSY16323) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1407808231
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameSTACY LEIGH THACKERCredential: PHD
Location Address10333 EL CAMINO REALAtascadero, CA 93423-7001
Mailing Address1600 9th St, Room 205 Mailstop 2-3Sacramento, CA 95814-6414 · (916) 654-2431 · Fax (916) 654-3186
Phone(805) 468-2000
Fax(805) 466-6011
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1407808231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in GA · PSY16323
Definition

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

10333 EL CAMINO REAL, Atascadero, CA 93423
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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.

DIANE IMREM PSY D
Psychologist
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
FRANCISCO JAVIER CASTREJON MD
Family Medicine
10333 EL CAMINO REAL, CENTRAL MEDICAL SERVICES
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2280
MR. PHILLIP EUGENE KERCE N.P.
Nurse Practitioner (Psychiatric/Mental Health)
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
CHRISTOPHER JON MCDONALD PSY D
Psychologist
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
ELOUISA V DIZON MD
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
DR. MATTHEW JOSEPH STEINER M.D.
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL, ATASCADERO STATE HOSPITAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
JOSHUA CYLDE DEANE MD
Psychiatry & Neurology (Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000
LAURA MAE LEARD M.D.
Psychiatry & Neurology (Forensic Psychiatry)
10333 EL CAMINO REAL
ATASCADERO, CA 93423
San Luis Obispo County (805) 468-2000

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 Stacy Thacker's NPI number?

The NPI number for Stacy Thacker is 1407808231. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Stacy Thacker located?

Stacy Thacker practices at 10333 El Camino Real, Atascadero, CA 93423. The listed phone number is (805) 468-2000.

What is Stacy Thacker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Stacy Thacker was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.