PACIFIC STONE PSYCHOLOGY CORPORATION
NPI 1770167371
Clinical Neuropsychologist in Clovis, CA
About Pacific Stone Psychology Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC STONE PSYCHOLOGY CORPORATION (NPI 1770167371) is a healthcare organization registered as a clinical neuropsychologist in Clovis, California and active in the NPI registry since May 2021. The organization lists Heather Pedersen, Owner / Neuropsychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Stone Psychology Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Stone Psychology Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pacific Stone Psychology Corporation's NPI number?
The NPI number for Pacific Stone Psychology Corporation is 1770167371. It was assigned to this organization in the NPPES registry on May 10, 2021.
Where is Pacific Stone Psychology Corporation located?
Pacific Stone Psychology Corporation is located at 264 Clovis Ave # 104, Clovis, CA 93612. The listed phone number is (559) 777-9061.
What is Pacific Stone Psychology Corporation's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Pacific Stone Psychology Corporation enrolled in Medicare?
Yes. Pacific Stone Psychology Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Stone Psychology Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pacific Stone Psychology Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pacific Stone Psychology Corporation was last updated on May 10, 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.
# Pacific Stone Psychology Corporation · NPI 1770167371
Clinical Neuropsychologist organization in Clovis, California. Organization record, active in the CMS NPPES registry since May 10, 2021.
## Identity
- **NPI:** 1770167371 (Entity type: Organization)
- **Enumerated:** May 10, 2021
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **Organization subpart:** No
- **Authorized official:** Heather Pedersen, OWNER / NEUROPSYCHOLOGIST
## Practice location
- **Address:** 264 CLOVIS AVE # 104, Clovis, CA 93612-1115
- **Phone:** (559) 777-9061
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1770167371) · Data from the CMS NPPES public registry.