Neda Soussanbari, PSYD in Vallejo, CA - Medicare Psychologist Provider

Neda Soussanbari, PSYD is a medicare enrolled "Psychologist" provider in Vallejo, California. Her current practice location is 975 Sereno Dr, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (415) 651-2945.

Neda Soussanbari is licensed to practice in California (license number 30550) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952861445.

Contact Information

	Neda Soussanbari, PSYD
	975 Sereno Dr, Vallejo, CA 94589-2441
	(415) 651-2945
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Neda Soussanbari
Gender	Female
Speciality	Psychologist
Location	975 Sereno Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952861445
Provider Enumeration Date: 03/21/2019
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8628489846
Enrollment ID: I20201119001226

Medical Identifiers

Medical identifiers for Neda Soussanbari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952861445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	30550 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Neda Soussanbari allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Neda Soussanbari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Neda Soussanbari, PSYD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: () -	Neda Soussanbari, PSYD 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (415) 651-2945

Reviews and Comments

Psychologist in Vallejo, CA

Dr. Ian Joseph Wallace, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 Maritime Academy Dr, The California Maritime Academy, Student Health Service, Vallejo, CA 94590 Phone: 707-654-1170 Fax: 707-654-1171
Dr. Richard Henry Von Feldt, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 800 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1050
Dr. Sureli K Patel, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 251 Georgia St, Vallejo, CA 94590 Phone: 707-558-8195
Robert S Cruz, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3536
Maurice Williams, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Ascot Pkwy, Vallejo, CA 94591 Phone: 707-556-5700
Tyler Jacob Wayne, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 665 Walnut Ave, Vallejo, CA 94592 Phone: 707-556-8921
Shasta Marie Ihorn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1761 Broadway St, Ste 100, Vallejo, CA 94589 Phone: 707-645-2700

Neda Soussanbari, PSYD - Medicare Psychologist in Vallejo, CA