STACEY SU-CHIO PEAK PSY.D.
NPI 1881119113
Psychologist - Clinical in Tracy, CA

Q: What is Stacey Peak's NPI number?

The NPI number for Stacey Peak is 1881119113. It was assigned to this individual provider in the NPPES registry on August 8, 2017. The provider is also known as Stacey Su-Chio Poon Psy.D..

Q: What is Stacey Peak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Peak was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 08, 2017PECOS Enrolled

35 E 10TH ST STE E3, TRACY, CA 95376(209) 210-2906 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 7, 2024, Mar 12, 2023, Aug 8, 2017 (3 updates tracked since 2017).

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About Stacey Su-chio Peak Psy.d. NPPES

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

STACEY SU-CHIO PEAK PSY.D. (NPI 1881119113) is an individual clinical provider in Tracy, California, licensed in California (PSY32621) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881119113

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSTACEY SU-CHIO PEAKCredential: PSY.D.

Location Address35 E 10TH ST STE E3Tracy, CA 95376-4066

Mailing AddressPo Box 5236San Luis Obispo, CA 93403-5236 · (510) 387-3635

Phone(209) 210-2906

Sole ProprietorNo

Enumeration DateAugust 8, 2017

Last NPPES UpdateMay 7, 20243 updates tracked since enumeration

NPPES CertifiedMay 7, 2024

✔ NPI 1881119113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY32621

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

35 E 10TH ST STE E3, Tracy, CA 95376

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Other Names 1

Professional Name (2)Stacey Su-chio Poon Psy.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey Su-chio Peak Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95376 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$176.60 typical visit price

range $58.87 – $176.60

Typical copayment $44.15 (range $14.71 – $44.15)

Most-billed visit code 99205

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

GENEVIVE M. JULIEN PSYD

Psychologist

35 E 10TH ST STE E3
TRACY, CA 95376

San Joaquin County (209) 831-3132

DR. JASON R FRYE PHD

Psychologist

35 E 10TH ST STE E3
TRACY, CA 95376

San Joaquin County (209) 325-8486

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 Peak's NPI number?

The NPI number for Stacey Peak is 1881119113. It was assigned to this individual provider in the NPPES registry on August 8, 2017. The provider is also known as Stacey Su-Chio Poon Psy.D..

Where is Stacey Peak located?

Stacey Peak practices at 35 E 10th St Ste E3, Tracy, CA 95376. The listed phone number is (209) 210-2906.

What is Stacey Peak's specialty?

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

Is Stacey Peak enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacey Peak was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.