Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDRA METHRATTA PSY
NPI 1154154870
Psychologist - Clinical in San Diego, CA

Q: What is Alexandra Methratta's NPI number?

The NPI number for Alexandra Methratta is 1154154870. It was assigned to this individual provider in the NPPES registry on August 20, 2024.

Q: What is Alexandra Methratta's specialty?

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

Active since August 20, 2024PECOS EnrolledAccepts Medicare Assignment

5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122(877) 840-6956(619) 383-6701 Get Directions Write a Review

NPPES record last updated: July 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2026, May 13, 2026, Aug 20, 2024 (3 updates tracked since 2024).

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About Dr. Alexandra Methratta Psy NPPES

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

DR. ALEXANDRA METHRATTA PSY (NPI 1154154870) is an individual clinical provider in San Diego, California, licensed in Colorado (PSY.0006297) and active in the NPI registry since August 2024. The provider is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154154870

Entity TypeIndividual

Primary Taxonomy103TC0700X

Provider Legal NameDR. ALEXANDRA METHRATTACredential: PSY

Location Address5060 SHOREHAM PL STE 330San Diego, CA 92122-5976

Mailing Address18336 Soledad Canyon Rd, Po Box 1361Santa Clarita, CA 91386-3035 · (805) 334-0413

Phone(877) 840-6956

Fax(619) 383-6701

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 20, 2024

Last NPPES UpdateJuly 11, 20263 updates tracked since enumeration

NPPES CertifiedJuly 11, 2026

✔ NPI 1154154870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CO · PSY.0006297✔ Licensed in CA · 36553

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.

5060 SHOREHAM PL STE 330, San Diego, CA 92122

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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

Dr. Alexandra Methratta Psy 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 ID648754705

PECOS Enrollment IDI20260317004640, I20260325003237

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 92122 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

$184.71 typical visit price

range $62.10 – $184.71

Typical copayment $46.17 (range $15.52 – $46.17)

Most-billed visit code 99205

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

SARA ELIZABETH ROYAL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)