EMILY TEJANI MD MPH NPI 1144455361

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Corte Madera, CA

NPI 1144455361 Individual Female Psychiatry & Neurology Child & Adolescent Psychiatry PECOS Enrolled Opted-Out Medicare CLIA Number 05D2170003 CLIA Certificate of Waiver

About EMILY TEJANI

Emily Tejani is a provider established in Corte Madera, California and her medical specialization is psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Emily Tejani is 1144455361 and was assigned on May 2009. The practitioner's primary taxonomy code is 2084P0804X with license number 129789 (CA). The provider is registered as an individual and her NPI record was last updated 6 years ago.

Emily Tejani is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Emily Tejani is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Emily Tejani opted out of Medicare effective on 02-10-2016 until 02-10-2022. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

The CLIA number of Emily Tejani Md Mph is 05D2170003 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Emily Tejani Md Mph to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1144455361

Provider Name EMILY TEJANI MD MPH
Provider Location Address45 SAN CLEMENTE DR SUITE D230E CORTE MADERA, CA 94925
Provider Mailing Address45 SAN CLEMENTE DR SUITE D230E CORTE MADERA, CA 94925
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-18-2009
Last Update Date06-18-2016


Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
License No.129789
License StateCA
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

EMILY TEJANI MD MPH
45 SAN CLEMENTE DR
SUITE D230E
CORTE MADERA, CA
ZIP 94925
Phone: (415) 510-2204

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Mailing Address

EMILY TEJANI MD MPH
45 SAN CLEMENTE DR
SUITE D230E
CORTE MADERA, CA
ZIP 94925
Phone: (415) 510-2204



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Opted-Out of MedicareYes
Opt-Out Effective Date02-10-2016
Opt-Out End Date02-10-2022
Eligible to Order and ReferYes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1144455361 is:

CLIA Number05D2170003
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1942382122MR. DAVID BRYAN KITTS L.AC.
Individual
Acupuncturist45 SAN CLEMENTE DR SUITE B 120
CORTE MADERA, CA 94925
(415) 269-0885
1316226046 KATHY CLAIRE SLANE OTR/L
Individual
Occupational Therapist45 SAN CLEMENTE DR SUITE C200
CORTE MADERA, CA 94925
(415) 378-5776
1881954626MR. THOMAS FRIEDRICH CMT
Individual
Massage Therapist45 SAN CLEMENTE DR SUITE D130
CORTE MADERA, CA 94925
(415) 496-5070
1437429206MS. KIM HOPPIN M.A.
Individual
Audiologist-Hearing Aid Fitter45 SAN CLEMENTE DR SUITE D140
CORTE MADERA, CA 94925
(415) 381-1567
1457768434 JONATHAN POFSKY MFT
Individual
Marriage & Family Therapist45 SAN CLEMENTE DR SUITE B 120
CORTE MADERA, CA 94925
(415) 577-5338
1942688072CORINNE GRANT
Organization
Clinic/Center (Health Service)45 SAN CLEMENTE DR SUITE 130
CORTE MADERA, CA 94925
(415) 212-8808
1841640935 MINDY L ZIMMERMAN CMT, CLT, BCTMB
Individual
Massage Therapist45 SAN CLEMENTE DR SUITE D100A
CORTE MADERA, CA 94925
(415) 450-5345
1255522264DR. NAZINEH NEZHAD HUFF MD
Individual
Psychiatry & Neurology (Psychiatry)45 SAN CLEMENTE DR STE D-230C
CORTE MADERA, CA 94925
(415) 830-4833
1750825360MINDFIT FAMILY THERAPY
Organization
Marriage & Family Therapist45 SAN CLEMENTE DR C200
CORTE MADERA, CA 94925
(415) 339-8001

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.