Stephanie Athena Claudatos, PHD, DBSM in San Pablo, CA - Medicare Clinical Psychologist Provider

Stephanie Athena Claudatos, PHD, DBSM is a medicare enrolled "Psychologist - Clinical" provider in San Pablo, California. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 1538 Beau Rivage, San Pablo, California. You can reach out to her office (for appointments etc.) via phone at (650) 485-1406.

Stephanie Athena Claudatos is licensed to practice in California (license number PSY34523) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417513482.

Contact Information

	Stephanie Athena Claudatos, PHD, DBSM
	1538 Beau Rivage, San Pablo, CA 94806-4115
	(650) 485-1406
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Athena Claudatos
Gender	Female
Speciality	Clinical Psychologist
Experience	4 Years
Location	1538 Beau Rivage, San Pablo, California
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Stephanie Athena Claudatos graduated from medical school in 2022

NPI Data:

NPI Number: 1417513482
Provider Enumeration Date: 05/15/2019
Last Update Date: 05/08/2026

Medicare PECOS Information:

PECOS PAC ID: 4486190378
Enrollment ID: I20240727000453

Medical Identifiers

Medical identifiers for Stephanie Athena Claudatos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417513482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY34523 (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. Stephanie Athena Claudatos allows following entities to bill medicare on her behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Ucsf Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427105279 PECOS PAC ID: 4981680832 Enrollment ID: O20040629001513

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. Stephanie Athena Claudatos 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
Stephanie Athena Claudatos, PHD, DBSM 1506 2201 Shore Line Dr, #1506, Alameda, CA 94501 Ph: (408) 515-3925	Stephanie Athena Claudatos, PHD, DBSM 1538 Beau Rivage, San Pablo, CA 94806-4115 Ph: (650) 485-1406

Reviews and Comments

Psychologist in San Pablo, CA

Ms. Holly Metz, PSYCH. INTERN Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2101 Van Ness St, San Pablo, CA 94806 Phone: 510-307-4169
Ms. Rachel Leigh Greenberg, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13601 San Pablo Ave, San Pablo, CA 94806 Phone: 914-384-8305
Jennifer Langfield, PPS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2300 Dolan Way, San Pablo, CA 94806 Phone: 510-819-2619
David Velleman, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13601 San Pablo Ave, San Pablo, CA 94806 Phone: 925-681-4190
Dr. Eric Jonathan Fitzmedrud, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5636 Casino Ave, San Pablo, CA 94806 Phone: 650-814-7823
Dr. Marian E Dale, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 95 Christine Ct, San Pablo, CA 94806 Phone: 510-222-5738 Fax: 510-223-0838

Stephanie Athena Claudatos, PHD, DBSM - Medicare Psychologist in San Pablo, CA