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TEDDY ADELSTEIN PH.D.
NPI 1144276874
Psychologist - Clinical in San Rafael, CA

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
45 WINDSTONE DR, SAN RAFAEL, CA 94903(415) 381-2209 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Teddy Adelstein Ph.d. NPPES

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

TEDDY ADELSTEIN PH.D. (NPI 1144276874) is an individual clinical provider in San Rafael, California, licensed in California (PSY 12543) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1144276874
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTEDDY ADELSTEINCredential: PH.D.
Location Address45 WINDSTONE DRSan Rafael, CA 94903-1438
Mailing Address823 Peregrine AveDavis, CA 95616-0170 · (415) 381-2209
Phone(415) 381-2209
Sole ProprietorYes
Medical School CMSOtherGraduated 1987
Enumeration DateMay 25, 2006
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
✔ NPI 1144276874 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 · PSY 12543
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.
45 WINDSTONE DR, San Rafael, CA 94903
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Other Identifiers 1

Other10769CA · Sf City/county Provider

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Teddy Adelstein Ph.d. 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 ID7416115639
PECOS Enrollment IDI20120220000716
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 Teddy Adelstein reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

T. Adelstein, Ph.D., Psychologist, P.C.
Same address
Psychologist
45 WINDSTONE DR
San Rafael, CA 94903
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: T Adelstein Phd Psychologist PC
NPI 1669864302 (415) 381-2209

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
261 services111 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
190 services187 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
182 services97 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 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
$202.63 typical visit price
range $69.07 – $202.63
Typical copayment $50.65 (range $17.26 – $50.65)
Most-billed visit code 99205
Established Patient
$119.61 typical visit price
range $23.44 – $166.64
Typical copayment $29.90 (range $5.86 – $41.66)
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

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

T. ADELSTEIN, PH.D., PSYCHOLOGIST, P.C.
Psychologist
45 WINDSTONE DR
SAN RAFAEL, CA 94903
Marin County (415) 381-2209

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 Teddy Adelstein's NPI number?

The NPI number for Teddy Adelstein is 1144276874. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Teddy Adelstein located?

Teddy Adelstein practices at 45 Windstone Dr, San Rafael, CA 94903. The listed phone number is (415) 381-2209.

What is Teddy Adelstein's specialty?

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

Is Teddy Adelstein enrolled in Medicare?

Yes. Teddy Adelstein 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.

Which organization bills Medicare for Teddy Adelstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teddy Adelstein reassigns Medicare benefits to T. Adelstein, Ph.D., Psychologist, P.C. (San Rafael, 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 Teddy Adelstein'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 Teddy Adelstein was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.