Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stacey Waters, MA

Individual provider Psychologist · NPI 1861826596

Stacey Waters, MA is a Clinical Psychologist in Norwalk, California. Qualified in 2022, 4 years ago. Practices with Department of State Hospitals, a 276-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

11401 Bloomfield Ave
Norwalk, CA 90650-2015
Phone: (562) 863-7011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 34506 (CA)

Record details

NPI number1861826596
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedAugust 29, 2013
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024
Mailing address11401 Bloomfield Ave, Norwalk, CA 90650-2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Department Of State Hospitals — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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