Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407808231 Individual Practitioner Female Practitioner

Dr. Stacy Leigh Thacker , PhD

Psychologist - Forensic • Atascadero, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Thacker, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Atascadero, CA. Practice services are available at 10333 EL CAMINO REAL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10333 El Camino Real

Atascadero, CA 934237001

Telephone 8054682000
Fax 8054666011
Associated Practice Facility / Clinic
🏢 Department Of State Hospitals Facility NPI 1174573802

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Atascadero, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
6 Specialists

Practicing in Atascadero, CA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License GA PSY16323

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jeffrey Teuber , PhD

Psychologist - Intellectual & Developmental Disabilities

NPI 1003868555

Doctor of Philosophy (Ph.D.)

Dr. Marc Reiner , MD

Psychiatry & Neurology - Psychiatry

NPI 1003980772

Doctor of Medicine (M.D.)

Dr. Ajibade Adeladan , MD

Psychiatry & Neurology - Psychiatry

NPI 1013178763

Doctor of Medicine (M.D.)

Dr. Timothy Nastasi , PsyD

Psychologist - Clinical

NPI 1013242676

Doctor of Psychology (Psy.D.)

Dr. Gina Najolia , PhD

Psychologist - Clinical

NPI 1013307123

Doctor of Philosophy (Ph.D.)

Dr. Ali Akhavan , MD

Internal Medicine

NPI 1013943174

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 10333 EL CAMINO REAL, ATASCADERO, CA 934237001 (Tel: 8054682000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1600 9TH ST, ROOM 205 MAILSTOP 2-3, SACRAMENTO, CA 958146414 (Tel: 9166542431)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACY THACKER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #PSY16323 in GA)

🟢
Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407808231
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1600 9th St, Room 205 Mailstop 2-3

Sacramento, CA 958146414

Phone: 9166542431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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