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DR. MYRA GUECO BERNECKER PH.D.
NPI 1003033267
Psychologist - Clinical in Kentfield, CA

Active since April 19, 2007Opted out of Medicare · through Jan 1, 2027
1036 SIR FRANCIS DRAKE BLVD STE 204, KENTFIELD, CA 94904(415) 354-4241 Get Directions Write a Review

NPPES record last updated: July 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Myra Gueco Bernecker Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MYRA GUECO BERNECKER PH.D. (NPI 1003033267) is an individual clinical provider in Kentfield, California, licensed in California (PSY21427) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1003033267
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MYRA GUECO BERNECKERCredential: PH.D.
Location Address1036 SIR FRANCIS DRAKE BLVD STE 204Kentfield, CA 94904-1440
Mailing Address1036 Sir Francis Drake Blvd Ste 204Kentfield, CA 94904-1440 · (415) 354-4241
Phone(415) 354-4241
Sole ProprietorYes
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 29, 2020
NPPES CertifiedJuly 29, 2020
✔ NPI 1003033267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY21427
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1036 SIR FRANCIS DRAKE BLVD STE 204, Kentfield, CA 94904
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Other Names 1

Former Name (1)Maria Eudora Gueco

Secondary Practice Location 1

Location 12354 Post StSan Francisco, CA 94115-3424 · Phone (415) 354-4241

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Myra Gueco Bernecker Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Myra Bernecker's NPI number?

The NPI number for Myra Bernecker is 1003033267. It was assigned to this individual provider in the NPPES registry on April 19, 2007. The provider is also known as Maria Eudora Gueco.

Where is Myra Bernecker located?

Myra Bernecker practices at 1036 Sir Francis Drake Blvd Ste 204, Kentfield, CA 94904. The listed phone number is (415) 354-4241.

What is Myra Bernecker's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Myra Bernecker enrolled in Medicare?

No. Myra Bernecker has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Myra Bernecker was last updated on July 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.