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DR. STACEY M RODGERS PSY.D.
NPI 1447471891
Psychologist - Clinical in San Rafael, CA

Active since May 02, 2007
1330 LINCOLN AVE STE 108-B, SAN RAFAEL, CA 94901(415) 454-1605 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stacey M Rodgers Psy.d. NPPES

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

DR. STACEY M RODGERS PSY.D. (NPI 1447471891) is an individual clinical provider in San Rafael, California, licensed in California (PSY20102) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1447471891
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STACEY M RODGERSCredential: PSY.D.
Location Address1330 LINCOLN AVE STE 108-BSan Rafael, CA 94901-2141
Mailing Address1 Deer Park LnSan Anselmo, CA 94960-2208 · (415) 577-3415
Phone(415) 454-1605
Sole ProprietorYes
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447471891 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 · PSY20102
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.
1330 LINCOLN AVE STE 108-B, San Rafael, CA 94901
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Other Identifiers 1

OtherOPL201020CA · Blueshield

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 Rodgers's NPI number?

The NPI number for Stacey Rodgers is 1447471891. It was assigned to this individual provider in the NPPES registry on May 2, 2007.

Where is Stacey Rodgers located?

Stacey Rodgers practices at 1330 Lincoln Ave Ste 108-B, San Rafael, CA 94901. The listed phone number is (415) 454-1605.

What is Stacey Rodgers's specialty?

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

When was this NPI record last updated?

The NPPES record for Stacey Rodgers was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.