DR. ANNE CUSACK PSYD
NPI 1114414943
Psychologist - Clinical in San Diego, CA
About Dr. Anne Cusack Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANNE CUSACK PSYD (NPI 1114414943) is an individual clinical provider in San Diego, California, licensed in California (PSY34519) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Anne Cusack Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anne Cusack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
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 Anne Cusack's NPI number?
The NPI number for Anne Cusack is 1114414943. It was assigned to this individual provider in the NPPES registry on April 17, 2018.
Where is Anne Cusack located?
Anne Cusack practices at 200 W Arbor Dr, San Diego, CA 92103. The listed phone number is (800) 926-8273.
What is Anne Cusack's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Anne Cusack enrolled in Medicare?
Yes. Anne Cusack is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anne Cusack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne Cusack reassigns Medicare benefits to Regents Of The University Of California (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 Anne Cusack'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 Anne Cusack was last updated on October 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Anne Cusack, PSYD · NPI 1114414943
Clinical provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 17, 2018.
## Identity
- **NPI:** 1114414943 (Entity type: Individual)
- **Enumerated:** April 17, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY34519 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 W ARBOR DR, San Diego, CA 92103-9000
- **Phone:** (800) 926-8273 · **Fax:** (888) 539-8781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Regents Of The University Of California (NPI 1508968967, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 4, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1114414943) · Data from the CMS NPPES public registry.