CMS-1500 Box 24J / 33a • NPI
1245319649
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
3160 FOLSOM BLVD, SACRAMENTO, CA, 95816-5219
✓ 9-Digit EDI 837 ZIP+4 (95816-5219)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245319649 (STACEY J. AHRONS, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245319649 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | STACEY J. AHRONS, PhD |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 3160 FOLSOM BLVD, SACRAMENTO, CA, 95816-5219 |
| Practice Telephone / Fax | Tel: (916) 733-3333 |
| Administrative Mailing Address | 6556 LONETREE BLVD STE 104, ROCKLIN, CA, 95765-6008 |
| Enumeration & Last Sync | Enumerated: 2006-11-04 | CMS Record Updated: 2018-12-16 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (STACEY J. AHRONS, PhD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: CA | License: PSY11964 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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