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DR. WENDY SANTOS-MODESITT PH.D.
NPI 1104087576
Clinical Neuropsychologist in Oakland, CA

Active since June 19, 2008PECOS Enrolled
11 EMBARCADERO W STE 145, OAKLAND, CA 94607(415) 203-7637 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 19, 2025, Mar 22, 2016 (2 updates tracked since 2016).

About Dr. Wendy Santos-modesitt Ph.d. NPPES

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

DR. WENDY SANTOS-MODESITT PH.D. (NPI 1104087576) is an individual clinical neuropsychologist in Oakland, California, licensed in California (PSY27242) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Oakland, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104087576
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. WENDY SANTOS-MODESITTCredential: PH.D.
Location Address11 EMBARCADERO W STE 145Oakland, CA 94607-4500
Mailing Address11 Embarcadero W Ste 145Oakland, CA 94607-4500 · (415) 203-7637
Phone(415) 203-7637
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 19, 2008
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1104087576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY27242
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
11 EMBARCADERO W STE 145, Oakland, CA 94607
Open in Google Maps ↗

Secondary Practice Location 1

Location 1747 52nd St, Department of Neuro-OncologyOakland, CA 94609-1809 · Phone (510) 428-3885 ext. 4249 · Fax (510) 597-7199

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wendy Santos-modesitt Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961974811
PECOS Enrollment IDI20260611003563
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.

Medicare Billing Reassignment

Medicare enrollment records show Wendy Santos-modesitt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minder Neuropsychological Services Inc.
438 mi
Psychologist
10269 CASSIA GLEN DR
San Diego, CA 92127
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1316637200 (858) 228-7422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

NEURO PATHWAYS NEUROPSYCHOLOGY CONSULTING A PROFESSIONAL CORPORATION
Clinical Neuropsychologist
11 EMBARCADERO W STE 145
OAKLAND, CA 94607
Alameda County (415) 634-7853

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 Wendy Santos-modesitt's NPI number?

The NPI number for Wendy Santos-modesitt is 1104087576. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Wendy Santos-modesitt located?

Wendy Santos-modesitt practices at 11 Embarcadero W Ste 145, Oakland, CA 94607. The listed phone number is (415) 203-7637.

What is Wendy Santos-modesitt's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Wendy Santos-modesitt enrolled in Medicare?

Yes. Wendy Santos-modesitt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wendy Santos-modesitt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Santos-modesitt reassigns Medicare benefits to Minder Neuropsychological Services Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wendy Santos-modesitt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wendy Santos-modesitt was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.