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ROBERT RIDDELL
NPI 1053864645
Psychologist - Clinical in San Francisco, CA

Active since July 29, 2016PECOS EnrolledAccepts Medicare Assignment
3632 SACRAMENTO ST STE 5, SAN FRANCISCO, CA 94118(415) 967-0840 Get Directions Write a Review

NPPES record last updated: May 4, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert Riddell NPPES

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

ROBERT RIDDELL (NPI 1053864645) is an individual clinical provider in San Francisco, California, licensed in California (PSY28463) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053864645
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameROBERT RIDDELL
Location Address3632 SACRAMENTO ST STE 5San Francisco, CA 94118-1710
Mailing Address3632 Sacramento St Ste 5San Francisco, CA 94118-1710 · (415) 967-0840
Phone(415) 967-0840
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 29, 2016
Last NPPES UpdateMay 4, 2019
✔ NPI 1053864645 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 · PSY28463
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.
3632 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

✔

Enrolled in Medicare and accepts Medicare assignment

Robert Riddell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214213636
PECOS Enrollment IDI20170418002832
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Robert Riddell's NPI number?

The NPI number for Robert Riddell is 1053864645. It was assigned to this individual provider in the NPPES registry on July 29, 2016.

Where is Robert Riddell located?

Robert Riddell practices at 3632 Sacramento St Ste 5, San Francisco, CA 94118. The listed phone number is (415) 967-0840.

What is Robert Riddell's specialty?

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

Is Robert Riddell enrolled in Medicare?

Yes. Robert Riddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Riddell was last updated on May 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.