Stacey Clemenceau, PH.D.
NPI 1265594113 · Clinical Psychologist · San Rafael, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Stacey Clemenceau, PH.D. is a Clinical Psychologist provider in San Rafael, CA (NPI 1265594113).
Provider details
- NPI number
- 1265594113
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY16162 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2022-02-11
Frequently asked questions
- What is Stacey Clemenceau's NPI number?
- Stacey Clemenceau's National Provider Identifier (NPI) is 1265594113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacey Clemenceau's specialty?
- Stacey Clemenceau is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Stacey Clemenceau located?
- Stacey Clemenceau's practice location on file with NPPES is 820 Las Gallinas Ave, San Rafael, CA 94903-3410.
- What is Stacey Clemenceau's phone number?
- The practice phone number listed in the NPPES registry for Stacey Clemenceau is (415) 444-3522.
- Does Stacey Clemenceau accept Medicare?
- Stacey Clemenceau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Stacey Clemenceau's NPI active?
- Yes — Stacey Clemenceau's NPI (1265594113) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.