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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JESSICA CLIFTON PH.D.
NPI 1023587078
Psychologist - Clinical in Santa Rosa, CA

Active since November 20, 2018Opted out of Medicare · through Jan 31, 2027
3558 ROUND BARN BLVD STE 200, SANTA ROSA, CA 95403(707) 341-6829(707) 324-3826 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Nov 20, 2018 (2 updates tracked since 2018).

About Dr. Jessica Clifton Ph.d. NPPES

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

DR. JESSICA CLIFTON PH.D. (NPI 1023587078) is an individual clinical provider in Santa Rosa, California, licensed in California (33447) and active in the NPI registry since November 2018. She has opted out of Medicare through January 31, 2027.

NPPES Registry Identity

NPI1023587078
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JESSICA CLIFTONCredential: PH.D.
Location Address3558 ROUND BARN BLVD STE 200Santa Rosa, CA 95403-0991
Mailing Address3558 Round Barn Blvd Ste 200Santa Rosa, CA 95403-0991 · (707) 341-6829 · Fax (707) 324-3826
Phone(707) 341-6829
Fax(707) 324-3826
Sole ProprietorNo
Enumeration DateNovember 20, 2018
Last NPPES UpdateAugust 7, 20262 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1023587078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · 33447✔ Licensed in VT · 048.0126352
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.
3558 ROUND BARN BLVD STE 200, Santa Rosa, CA 95403
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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. Jessica Clifton 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 31, 2023 through January 31, 2027.

Opt-Out Effective DateJanuary 31, 2023
Opt-Out In Effect ThroughJanuary 31, 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 95403 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
$187.01 typical visit price
range $63.04 – $187.01
Typical copayment $46.75 (range $15.76 – $46.75)
Most-billed visit code 99205
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHY MAE EKREN LMFT
Marriage & Family Therapist
3558 ROUND BARN BLVD STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 843-7887
NB CONSULTING AND CODING INC
Hospice Care, Community Based
3558 ROUND BARN BLVD STE 200
SANTA ROSA, CA 95403
Sonoma County (925) 999-6474
COMFORTING HANDS (FIJI) HOME CARE LLC
In Home Supportive Care
3558 ROUND BARN BLVD STE 200
SANTA ROSA, CA 95403
Sonoma County (707) 908-2488

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 Jessica Clifton's NPI number?

The NPI number for Jessica Clifton is 1023587078. It was assigned to this individual provider in the NPPES registry on November 20, 2018.

Where is Jessica Clifton located?

Jessica Clifton practices at 3558 Round Barn Blvd Ste 200, Santa Rosa, CA 95403. The listed phone number is (707) 341-6829.

What is Jessica Clifton's specialty?

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

Is Jessica Clifton enrolled in Medicare?

No. Jessica Clifton has opted out of Medicare through January 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Clifton was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.