T. Adelstein, Ph.d., Psychologist, P.c. - Medicare Mental Health Clinic in San Rafael, CA

T. Adelstein, Ph.d., Psychologist, P.c. is a medicare enrolled mental health clinic (Psychologist) in San Rafael, California. The current practice location for T. Adelstein, Ph.d., Psychologist, P.c. is 45 Windstone Dr, San Rafael, California. For appointments, you can reach them via phone at (415) 381-2209. The mailing address for T. Adelstein, Ph.d., Psychologist, P.c. is 823 Peregrine Ave, Davis, California and phone number is (415) 381-2209.

T. Adelstein, Ph.d., Psychologist, P.c. is licensed to practice in California (license number 12543). The clinic also participates in the medicare program and its NPI number is 1669864302. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (415) 381-2209.

Contact Information

T. Adelstein, Ph.d., Psychologist, P.c.
45 Windstone Dr
San Rafael
CA 94903-1438
(415) 381-2209
(415) 593-7789

Map and Direction


Mental Health Clinic Profile

Full NameT. Adelstein, Ph.d., Psychologist, P.c.
SpecialityPsychologist
Location45 Windstone Dr, San Rafael, California
Authorized Official Name and PositionTeddy Adelstein (PRESIDENT)
Authorized Official Contact4153812209
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
T. Adelstein, Ph.d., Psychologist, P.c.
823 Peregrine Ave
Davis
CA 95616-0170

Ph: (415) 381-2209
T. Adelstein, Ph.d., Psychologist, P.c.
45 Windstone Dr
San Rafael
CA 94903-1438

Ph: (415) 381-2209

NPI Details:

NPI Number1669864302
Provider Enumeration Date03/03/2015
Last Update Date06/01/2022
Certification Date06/01/2022

Medicare PECOS Information:

Medicare PECOS PAC ID0244550721
Medicare Enrollment IDO20150523000076

Medical Identifiers

Medical identifiers for T. Adelstein, Ph.d., Psychologist, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669864302NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 12543 (California)Primary
103TA0700XPsychologist - Adult Development & Aging 12543 (California)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. T. Adelstein, Ph.d., Psychologist, P.c. acts as a billing entity for following providers:
Provider NameTeddy Adelstein
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1144276874
PECOS PAC ID: 7416115639
Enrollment ID: I20120220000716

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.