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KELLY LEE COUACAUD PH.D.
NPI 1033259759
Psychologist - Clinical in San Francisco, CA

Active since February 08, 2007Opted out of Medicare · through Jan 1, 2028
3530 SACRAMENTO ST STE 5, SAN FRANCISCO, CA 94118(415) 948-8933(415) 388-2888 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 10, 2025, May 8, 2019 (2 updates tracked since 2019).

About Kelly Lee Couacaud Ph.d. NPPES

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

KELLY LEE COUACAUD PH.D. (NPI 1033259759) is an individual clinical provider in San Francisco, California, licensed in California (PSY17248) and active in the NPI registry since February 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1033259759
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKELLY LEE COUACAUDCredential: PH.D.
Location Address3530 SACRAMENTO ST STE 5San Francisco, CA 94118-1897
Mailing Address3530 Sacramento St Ste 5San Francisco, CA 94118-1897 · (415) 948-8933 · Fax (415) 388-2888
Phone(415) 948-8933
Fax(415) 388-2888
Sole ProprietorYes
Enumeration DateFebruary 8, 2007
Last NPPES UpdateFebruary 10, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1033259759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY17248
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.
Also ListedPsychologistTaxonomy 103T00000X · License PSY17248 (CA)
3530 SACRAMENTO ST STE 5, San Francisco, CA 94118
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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

Kelly Lee Couacaud 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, 2020 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2020
Opt-Out In Effect ThroughJanuary 1, 2028Opt-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 94118 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 Kelly Couacaud's NPI number?

The NPI number for Kelly Couacaud is 1033259759. It was assigned to this individual provider in the NPPES registry on February 8, 2007.

Where is Kelly Couacaud located?

Kelly Couacaud practices at 3530 Sacramento St Ste 5, San Francisco, CA 94118. The listed phone number is (415) 948-8933.

What is Kelly Couacaud's specialty?

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

Is Kelly Couacaud enrolled in Medicare?

No. Kelly Couacaud has opted out of Medicare through January 1, 2028. 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 Kelly Couacaud was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.