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STACEY MAE MARQUEZ SANTOS
NPI 1629791454
Psychologist - Health Service in Concord, CA

Active since September 26, 2022
1200 CONCORD AVE STE 100, CONCORD, CA 94520(510) 268-8120 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacey Mae Marquez Santos NPPES

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

STACEY MAE MARQUEZ SANTOS (NPI 1629791454) is an individual health service provider in Concord, California and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1629791454
Entity TypeIndividualFemale
Primary Taxonomy103TH0100X
Provider Legal NameSTACEY MAE MARQUEZ SANTOS
Location Address1200 CONCORD AVE STE 100Concord, CA 94520-4969
Mailing Address1200 Concord Ave Ste 100Concord, CA 94520-4969 · (510) 268-8120
Phone(510) 268-8120
Sole ProprietorYes
Enumeration DateSeptember 26, 2022
NPPES CertifiedSeptember 26, 2022
✔ NPI 1629791454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers
Taxonomy Code103TH0100X
Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

1200 CONCORD AVE STE 100, Concord, CA 94520
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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.

JENNESSICA HOLLIDAY
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
LAURA SALONGA
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
ALISON TUCKER
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
MAGGIEROSE GONGWER
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
CLAIRE AGUIAR
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
JANA ALEXANDER
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 832-4383
EMRAN N/A AZIMI
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 268-8120
ASHLYNNE JEAN LEWIS BS
Behavior Technician
1200 CONCORD AVE STE 100
CONCORD, CA 94520
Contra Costa County (510) 268-8120

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 Mae Santos's NPI number?

The NPI number for Stacey Mae Santos is 1629791454. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Stacey Mae Santos located?

Stacey Mae Santos practices at 1200 Concord Ave Ste 100, Concord, CA 94520. The listed phone number is (510) 268-8120.

What is Stacey Mae Santos's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Stacey Mae Santos was last updated on September 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.